Provider Demographics
NPI:1003856246
Name:ESPINOZA, KIMBERLY SUE (RPH)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:SUE
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:SUE
Other - Last Name:FRAZIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:19 MOSS LN
Mailing Address - Street 2:
Mailing Address - City:HOOKS
Mailing Address - State:TX
Mailing Address - Zip Code:75561-7508
Mailing Address - Country:US
Mailing Address - Phone:903-701-5301
Mailing Address - Fax:
Practice Address - Street 1:459 E NEW BOSTON RD
Practice Address - Street 2:
Practice Address - City:NASH
Practice Address - State:TX
Practice Address - Zip Code:75569-2715
Practice Address - Country:US
Practice Address - Phone:833-569-1005
Practice Address - Fax:430-200-4870
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist