MEDICARE: PEARL C OGUCHI

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	156F00000X	Technician/Technologist	069591	TX
2	156FX1800X	Optician

General Provider Information

NPI Number	:	1386828424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEARL C OGUCHI

Provider Business Mailing Address
First Line	:	14909 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2510
Country	:	US
Telephone Number	:	281-564-6400
Fax Number	:	281-564-6450

Provider Business Practice Location Address
First Line	:	14909 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2510
Country	:	US
Telephone Number	:	281-564-6400
Fax Number	:	281-564-6450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	03/11/2022

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Directions to “ PEARL C OGUCHI ” Practice Location

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