MEDICARE: PREFERRED HEALTHCARE GROUP LLC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1700372919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HEALTHCARE GROUP LLC

Provider Business Mailing Address
First Line	:	5501 CABRERA DR STE 201
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7261
Country	:	US
Telephone Number	:	713-360-7773
Fax Number	:	713-360-7774

Provider Business Practice Location Address
First Line	:	5501 CABRERA DR STE 201
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7261
Country	:	US
Telephone Number	:	713-360-7773
Fax Number	:	713-360-7774

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS TYRENA L. BOOKER
Credential	:
Telephone Number	:	713-498-7557

Provider Enumeration Date	:	07/11/2018
Last Update Date	:	03/25/2026

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