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NPI Code Detail

MEDICARE: MRS. CHEN-FUNG SOO IZFAR R.PH

MEDICARE:  MRS. CHEN-FUNG SOO IZFAR  R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28955TX

General Provider Information

NPI Number : 1013916873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHEN-FUNG SOO IZFAR R.PH
Provider Business Mailing Address
First Line : 10 TOKENEKE TRL
Second Line :
City : HOUSTON
State : TX
Zip : 77024-6727
Country : US
Telephone Number : 713-467-2807
Fax Number : 713-467-2424
Provider Business Practice Location Address
First Line : 6630 DE MOSS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5004
Country : US
Telephone Number : 713-272-5578
Fax Number : 713-272-5550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. CHEN-FUNG SOO IZFAR R.PH” Practice Location

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