Provider Demographics
NPI:1699718528
Name:THE CENTER FOR PURSUIT
Entity type:Organization
Organization Name:THE CENTER FOR PURSUIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBARTOLO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:713-525-8405
Mailing Address - Street 1:4400 HARRISBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-4014
Mailing Address - Country:US
Mailing Address - Phone:713-525-8405
Mailing Address - Fax:
Practice Address - Street 1:4400 HARRISBURG BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4014
Practice Address - Country:US
Practice Address - Phone:713-525-8405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68285101YP2500X
TXL7507261Q00000X
TX133329261QA0600X
315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual DisabilitiesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038490102Medicaid
TX1699787374OtherDEBORAH GROSSETT PHD
TX81204POtherDEBORAH GROSSETT PHD
TX86804JOtherDR. KAY R. LEWIS
TX000334500OtherDAHS DAY PROGRAM
TX001004492OtherPROVIDER ID
TX091760101Medicaid
TX1801821939OtherDR. CATHERINE OKONJI-AZUOGU
TX81204POther1699787374
TX000374501OtherPROVIDER ID
TX1447278668OtherDR. KAY R. LEWIS
TX00D46NOtherBLUE CROSS BLUE SHIELD
TX00D46NMedicare UPIN
TX00D46NOtherBLUE CROSS BLUE SHIELD