Provider Demographics
NPI:1427062199
Name:PEARCE, JAMES SCOTT (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:SCOTT
Last Name:PEARCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18700 KATY FREEWAY
Mailing Address - Street 2:MOB 3, SUITE 403
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094
Mailing Address - Country:US
Mailing Address - Phone:832-522-8444
Mailing Address - Fax:832-844-8445
Practice Address - Street 1:18700 KATY FREEWAY
Practice Address - Street 2:MOB 3, SUITE 403
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094
Practice Address - Country:US
Practice Address - Phone:832-522-8444
Practice Address - Fax:832-522-8445
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6569207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161191501Medicaid
TX8B1254Medicare ID - Type Unspecified