Healthcare Provider Details

I. General information

NPI: 1407076102
Provider Name (Legal Business Name): CHAD MARK BARNETT PHARM.D, BCOP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HOLCOMBE BLVD UNIT 1354
HOUSTON TX
77030-4009
US

IV. Provider business mailing address

5406 LYMBAR DR
HOUSTON TX
77096-5020
US

V. Phone/Fax

Practice location:
  • Phone: 713-792-6954
  • Fax: 713-563-0905
Mailing address:
  • Phone: 713-551-9230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number41559
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: