MEDICARE: PCCSS, PLLC.

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician
2	207RP1001X	Pulmonary Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295056877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PCCSS, PLLC.

Provider Business Mailing Address
First Line	:	7500 BEECHNUT ST STE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-4396
Country	:	US
Telephone Number	:	713-988-0850
Fax Number	:	713-988-0866

Provider Business Practice Location Address
First Line	:	7500 BEECHNUT ST.
Second Line	:	STE. 250
City	:	HOUSTON
State	:	TX
Zip	:	77074-4396
Country	:	US
Telephone Number	:	713-988-0850
Fax Number	:	713-988-0866

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARSHAY SHANAY METOYER
Credential	:
Telephone Number	:	713-988-0850

Provider Enumeration Date	:	06/17/2010
Last Update Date	:	04/09/2026

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Directions to “PCCSS, PLLC. ” Practice Location

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