MEDICARE: DR. UYEN T MORAS PHARMD

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	41649	TX

General Provider Information

NPI Number	:	1689925174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UYEN T MORAS PHARMD

Provider Business Mailing Address
First Line	:	10401 RESEARCH BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5712
Country	:	US
Telephone Number	:	512-634-2252
Fax Number	:	512-634-2271

Provider Business Practice Location Address
First Line	:	10401 RESEARCH BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5712
Country	:	US
Telephone Number	:	512-634-2252
Fax Number	:	512-634-2271

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

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	09/25/2012

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