Healthcare Provider Details

I. General information

NPI: 1336499045
Provider Name (Legal Business Name): BIJU KURIAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 09/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 PRESTON ST
RICHMOND TX
77469-1419
US

IV. Provider business mailing address

2100 PRESTON ST
RICHMOND TX
77469-1419
US

V. Phone/Fax

Practice location:
  • Phone: 281-344-4601
  • Fax:
Mailing address:
  • Phone: 281-344-4601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42834
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number42834
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: