MEDICARE: MOUSA ABKHEZR PHARM.D

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
1	183500000X	Pharmacist	56096	TX

General Provider Information

NPI Number	:	1588138549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOUSA ABKHEZR PHARM.D

Provider Business Mailing Address
First Line	:	6220 WESTPARK DR STE 111
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7413
Country	:	US
Telephone Number	:	713-497-5510
Fax Number	:

Provider Business Practice Location Address
First Line	:	6220 WESTPARK DR STE 111
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7413
Country	:	US
Telephone Number	:	713-497-5510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2019
Last Update Date	:	01/25/2024

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