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NPI Code Detail

MEDICARE: DR. NICOLE LYNN MCMASTER-BAXTER PHARM.D., BCPS

MEDICARE: DR. NICOLE LYNN MCMASTER-BAXTER PHARM.D., BCPS
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
11835P1200XPharmacotherapy Pharmacist41041TX

General Provider Information

NPI Number : 1881696250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE LYNN MCMASTER-BAXTER PHARM.D., BCPS
Provider Business Mailing Address
First Line : 12013 CEDAR CREEK DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1642
Country : US
Telephone Number : 210-385-2993
Fax Number :
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-794-7119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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