Healthcare Provider Details

I. General information

NPI: 1487296919
Provider Name (Legal Business Name): LAX SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2019
Last Update Date: 10/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3527 SHAVER ST # 105
PASADENA TX
77504-1307
US

IV. Provider business mailing address

4808 FAIRMONT PKWY # 125
PASADENA TX
77505-3722
US

V. Phone/Fax

Practice location:
  • Phone: 832-487-9420
  • Fax:
Mailing address:
  • Phone: 832-889-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. AZA CHERRY
Title or Position: OWNER
Credential:
Phone: 832-889-3555