MEDICARE: DR. REGINA ORTIZ SIMIEN 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	42987	TX

General Provider Information

NPI Number	:	1962730911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGINA ORTIZ SIMIEN PHARMD

Provider Business Mailing Address
First Line	:	7929 KIRBY DR.
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1701
Country	:	US
Telephone Number	:	713-383-0292
Fax Number	:	713-790-1264

Provider Business Practice Location Address
First Line	:	7929 KIRBY DR.
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1701
Country	:	US
Telephone Number	:	713-383-0292
Fax Number	:	713-790-1264

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

Provider Enumeration Date	:	12/03/2009
Last Update Date	:	12/07/2009

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