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NPI Code Detail

MEDICARE: JAVEED BORA

MEDICARE: JAVEED BORA
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
1183500000XPharmacist59439TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NAOTHERNA

General Provider Information

NPI Number : 1275019168
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVEED BORA
Provider Business Mailing Address
First Line : 2750 HOLLY HALL ST APT 305
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4147
Country : US
Telephone Number : 832-860-8618
Fax Number :
Provider Business Practice Location Address
First Line : 121 HIGHWAY 332 W
Second Line :
City : LAKE JACKSON
State : TX
Zip : 77566-4028
Country : US
Telephone Number : 979-297-8578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2018
Last Update Date : 07/14/2018

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Directions to “ JAVEED BORA ” Practice Location

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