Healthcare Provider Details

I. General information

NPI: 1184845828
Provider Name (Legal Business Name): EARDIE AUGUSTA CURRY III PHARMD, BCOP, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HOLCOMBE BLVD BOX 706
HOUSTON TX
77030
US

IV. Provider business mailing address

2235 SHAKESPEARE ST.
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-563-9944
  • Fax: 713-745-5679
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number38654
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: