=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811124233
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEMANTKUMAR A SHETH RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2009
-----------------------------------------------------
Last Update Date | 06/11/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5900 CHIMNEY ROCK RD STE AC
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77081-2706
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-661-7746
-----------------------------------------------------
Fax | 713-661-7747
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7118 BRAMLETT CT
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77479-5634
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-247-9380
-----------------------------------------------------
Fax | 713-661-7747
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 31980
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------