OrganizationProgressive Heatlhcare PractitionersNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4141 North Fwy Ste 231, Houston, TX 77022-4215(713) 697-4389PECOS EnrollmentBased on the most recent information from CMS, provider Progressive Heatlhcare Practitioners does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417127259Provider TypeOrganizationFull NameProgressive Heatlhcare PractitionersSubpartNoEnumeration Date3/7/2008Last Updated3/7/2008Contact InformationPractice LocationPractice Address4141 North Fwy Ste 231, Houston, TX 77022-4215Phone(713) 697-4389Fax(713) 697-4389Mailing LocationMailing Address4141 North Fwy Ste 231, Houston, TX 77022-4215Phone(713) 697-4389Fax(713) 697-4389Authorized OfficialNameHall, Angela Renee (Nurse Practitioner)Phone(713) 697-4389Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense658237TexasCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense664615Texas