MEDICARE: NURAT ALLISON RPH

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	38265	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730783804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NURAT ALLISON RPH

Provider Business Mailing Address
First Line	:	6415 OAKMONT CREEK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-1934
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 GESSNER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-5181
Country	:	US
Telephone Number	:	713-849-1100
Fax Number	:	713-849-1106

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

Provider Enumeration Date	:	11/29/2020
Last Update Date	:	11/29/2020

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