Healthcare Provider Details

I. General information

NPI: 1174280085
Provider Name (Legal Business Name): CHRISTINE ESKANDAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2021
Last Update Date: 11/26/2021
Certification Date: 11/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12930 DAIRY ASHFORD RD STE 702
SUGAR LAND TX
77478-4667
US

IV. Provider business mailing address

811 TOWN AND COUNTRY BLVD APT 292
HOUSTON TX
77024-3996
US

V. Phone/Fax

Practice location:
  • Phone: 713-993-7770
  • Fax:
Mailing address:
  • Phone: 818-291-3359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62410
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: