NPI age
19 years
Enumerated 2007-02-13
Across 107 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 06015 | STATE LICENSE NUMBER |
| 01 (TX) | 00028674 | DPS REGISTRATION |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Texas A&m University.
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