Healthcare Provider Details

I. General information

NPI: 1679566194
Provider Name (Legal Business Name): NGA T TRAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 OFFICE CITY DR
HOUSTON TX
77012-4115
US

IV. Provider business mailing address

5084 GLENMONT DR
HOUSTON TX
77081-2126
US

V. Phone/Fax

Practice location:
  • Phone: 713-495-3715
  • Fax: 713-495-3717
Mailing address:
  • Phone: 713-668-9524
  • Fax: 713-495-3717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27281
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: