MEDICARE: RXPERTS PHARMACY - TEXAS, LLC

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	282N00000X	General Acute Care Hospital	26100	TX

General Provider Information

NPI Number	:	1649418153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RXPERTS PHARMACY - TEXAS, LLC

Provider Business Mailing Address
First Line	:	8700 JAMEEL RD
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77040-5047
Country	:	US
Telephone Number	:	713-460-5454
Fax Number	:	866-975-1717

Provider Business Practice Location Address
First Line	:	8700 JAMEEL RD
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77040-5047
Country	:	US
Telephone Number	:	713-460-5454
Fax Number	:	866-975-1717

Authorized Official
Title or Position	:	CEO
Name	:	MR. ROBERT GIBBER
Credential	:
Telephone Number	:	847-583-1717

Provider Enumeration Date	:	01/22/2009
Last Update Date	:	01/22/2009

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