Healthcare Provider Details

I. General information

NPI: 1992428841
Provider Name (Legal Business Name): ZUHER SOMJI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 09/26/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 CENTRE CREEK DR STE 115
AUSTIN TX
78754-5133
US

IV. Provider business mailing address

1541 JERUSALEM DR
ROUND ROCK TX
78664-8618
US

V. Phone/Fax

Practice location:
  • Phone: 512-579-0184
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03440462
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number68276
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: