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NPI Code Detail

MEDICARE: ROSCOE CAWYER

MEDICARE: ROSCOE CAWYER
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
1183500000XPharmacist17738TX

General Provider Information

NPI Number : 1164736013
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSCOE CAWYER
Provider Business Mailing Address
First Line : 3663 BRIARPARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77042-5205
Country : US
Telephone Number : 713-268-3630
Fax Number : 623-869-1717
Provider Business Practice Location Address
First Line : 2611 W PARK ROW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-2257
Country : US
Telephone Number : 817-459-4124
Fax Number : 817-459-0419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 08/03/2010

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Directions to “ ROSCOE CAWYER ” Practice Location

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