Provider Demographics
NPI:1043615982
Name:HONG, DAPHNE CHRISTINA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:DAPHNE
Middle Name:CHRISTINA
Last Name:HONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 SCOFIELD RIDGE PKWY
Mailing Address - Street 2:APT 921
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-6384
Mailing Address - Country:US
Mailing Address - Phone:817-437-2848
Mailing Address - Fax:
Practice Address - Street 1:2600 SCOFIELD RIDGE PKWY
Practice Address - Street 2:APT 921
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-6384
Practice Address - Country:US
Practice Address - Phone:817-437-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55406183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist