Healthcare Provider Details

I. General information

NPI: 1457353849
Provider Name (Legal Business Name): AMPARO LUCIA GONZALEZ-O'DELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9230 KIRBY DR
HOUSTON TX
77054-2541
US

IV. Provider business mailing address

9230 KIRBY DR
HOUSTON TX
77054-2541
US

V. Phone/Fax

Practice location:
  • Phone: 713-634-1425
  • Fax:
Mailing address:
  • Phone: 713-634-1425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number42850
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: