MEDICARE: DR. JARED ANTHONY TIU 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	1835I0206X	Infectious Diseases Pharmacist	74115	TX

General Provider Information

NPI Number	:	1841036480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED ANTHONY TIU PHARMD

Provider Business Mailing Address
First Line	:	9330 MAIN ST APT 232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4564
Country	:	US
Telephone Number	:	816-694-2497
Fax Number	:

Provider Business Practice Location Address
First Line	:	6565 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2703
Country	:	US
Telephone Number	:	713-790-3311
Fax Number	:

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

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/03/2024

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