Provider Demographics
NPI:1366931842
Name:PEARLAND ELITE WOMEN'S HEALTH, PLLC
Entity type:Organization
Organization Name:PEARLAND ELITE WOMEN'S HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUIN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-389-5520
Mailing Address - Street 1:10907 MEMORIAL HERMANN DR STE 490
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4114
Mailing Address - Country:US
Mailing Address - Phone:713-389-5520
Mailing Address - Fax:713-389-5521
Practice Address - Street 1:10907 MEMORIAL HERMANN DR STE 490
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:713-389-5520
Practice Address - Fax:713-389-5521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7340207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty