Provider Demographics
NPI:1083208375
Name:LIMON, ADRIANA SALEM
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:SALEM
Last Name:LIMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 AIRPORT COMMERCE DR STE 350
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-6820
Mailing Address - Country:US
Mailing Address - Phone:512-789-3670
Mailing Address - Fax:
Practice Address - Street 1:1340 AIRPORT COMMERCE DR STE 350
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-6820
Practice Address - Country:US
Practice Address - Phone:512-789-3670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225599183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician