Provider Demographics
NPI:1114558616
Name:ASSAKER, NANCY GHAZI
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:GHAZI
Last Name:ASSAKER
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 1:9319 PINECROFT DR STE 110
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3485
Mailing Address - Country:US
Mailing Address - Phone:281-298-1129
Mailing Address - Fax:
Practice Address - Street 1:9319 PINECROFT DR STE 110
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3485
Practice Address - Country:US
Practice Address - Phone:281-298-1129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658371835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX65837OtherTEXAS STATE BOARD OF PHARMACY - PHARMACIST LICENSE