MEDICARE: CHANCES AND DREAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1205791431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANCES AND DREAMS

Provider Business Mailing Address
First Line	:	2225 COUNTY ROAD 90 STE 109
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-4891
Country	:	US
Telephone Number	:	281-760-1445
Fax Number	:	713-583-2027

Provider Business Practice Location Address
First Line	:	2225 COUNTY ROAD 90 STE 109
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-4891
Country	:	US
Telephone Number	:	281-760-1445
Fax Number	:	713-583-2027

Authorized Official
Title or Position	:	OWNER
Name	:	KATHERINE CUELLAR
Credential	:
Telephone Number	:	281-760-1445

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	04/22/2026

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Practice Location Address:

2225 COUNTY ROAD 90 STE 109
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Directions to “CHANCES AND DREAMS ” Practice Location

Language	Start Address	Practice Location

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