Healthcare Provider Details

I. General information

NPI: 1710215926
Provider Name (Legal Business Name): ANNA M GELMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2009
Last Update Date: 11/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 MEYER ST
SEALY TX
77474-3930
US

IV. Provider business mailing address

1808 MEYER ST
SEALY TX
77474-3930
US

V. Phone/Fax

Practice location:
  • Phone: 979-877-0251
  • Fax: 979-877-0841
Mailing address:
  • Phone: 979-877-0251
  • Fax: 979-877-0841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40714
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: