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General NPI Number Information
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NPI Number | 1093487456
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Entity Type | Organization
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Legal Business Name | PHYSICIAN REVIEW SERVICES LLC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 3411 RICHMOND AVE STE 675
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City | HOUSTON
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State | TX
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Zip | 77046-3400
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Country | US
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Telephone | 281-547-2750
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Fax | 832-708-1027
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Provider Business Mailing Address
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Address Line | PO BOX 27441
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City | HOUSTON
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State | TX
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Zip | 77227-7441
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Country | US
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Telephone | 281-547-2750
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Fax | 832-708-1027
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Authorized Official
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Title or Position | MANAGER
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Name | PAULA ANSARI
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Credential |
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Telephone | 281-547-2750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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