Healthcare Provider Details

I. General information

NPI: 1669137931
Provider Name (Legal Business Name): ALMA ZAAROUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FM 663
MIDLOTHIAN TX
76065-5600
US

IV. Provider business mailing address

1280 FOREST GREEN DR
KENNEDALE TX
76060-2853
US

V. Phone/Fax

Practice location:
  • Phone: 469-336-2040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55024
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: