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General NPI Number Information
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NPI Number | 1174609994
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Entity Type | Organization
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Legal Business Name | TEXANS PEOPLE PHARMACY AND WELLNESS CTR, LLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 6609 W SAM HOUSTON PKWY S STE 98B
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City | HOUSTON
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State | TX
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Zip | 77072
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Country | US
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Telephone | 713-995-8885
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Fax | 713-776-9990
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Provider Business Mailing Address
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Address Line | 6609 W SAM HOUSTON PKWY S STE 98B
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City | HOUSTON
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State | TX
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Zip | 77072-1641
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Country | US
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Telephone | 713-995-8885
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Fax | 713-776-9990
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Authorized Official
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Title or Position | MEMBER MANAGED
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Name | BRYAN PHAN
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Credential | RPH
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Telephone | 713-995-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29154
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License Number State | TX
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