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NPI Code Detail

MEDICARE: MS. SYLVIA G PETERS

MEDICARE: MS. SYLVIA G PETERS
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
1183500000XPharmacist21824TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14527694OTHERTXNABP

General Provider Information

NPI Number : 1174852024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SYLVIA G PETERS
Provider Business Mailing Address
First Line : 500 MAXEY RD
Second Line :
City : HOUSTON
State : TX
Zip : 77013-5036
Country : US
Telephone Number : 713-330-4552
Fax Number : 713-330-4595
Provider Business Practice Location Address
First Line : 500 MAXEY RD
Second Line :
City : HOUSTON
State : TX
Zip : 77013-5036
Country : US
Telephone Number : 713-330-4552
Fax Number : 713-330-4595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2009
Last Update Date : 12/23/2009

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