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NPI Code Detail

MEDICARE: JASON CADE DAVIS RPH

MEDICARE: JASON CADE DAVIS RPH
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
1183500000XPharmacist35450TX
2183500000XPharmacist051-294196IL

General Provider Information

NPI Number : 1265828412
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON CADE DAVIS RPH
Provider Business Mailing Address
First Line : 11914 ASTORIA BLVD STE 190
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6073
Country : US
Telephone Number : 281-481-2434
Fax Number :
Provider Business Practice Location Address
First Line : 11914 ASTORIA BLVD STE 190
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6073
Country : US
Telephone Number : 281-481-2434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2015
Last Update Date : 04/14/2015

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Directions to “ JASON CADE DAVIS RPH” Practice Location

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