Provider Demographics
NPI:1033530100
Name:ABEBE, ELIZABETH B (RPH, PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:B
Last Name:ABEBE
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6200 SAVOY
Mailing Address - Street 2:STE 540
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3338
Mailing Address - Country:US
Mailing Address - Phone:713-778-1300
Mailing Address - Fax:713-778-0827
Practice Address - Street 1:1414 S. FRAZIER
Practice Address - Street 2:STE 5
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-4475
Practice Address - Country:US
Practice Address - Phone:936-494-2455
Practice Address - Fax:936-434-2456
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist