Healthcare Provider Details

I. General information

NPI: 1023324290
Provider Name (Legal Business Name): TOKS OYASHIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10375 RICHMOND SUITE 1575 MINT PHYSICIAN STAFFING
HOUSTON TX
77042
US

IV. Provider business mailing address

718 DERBY LN
MISSOURI CITY TX
77489-3226
US

V. Phone/Fax

Practice location:
  • Phone: 866-312-1177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number31939
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: