Provider Demographics
NPI:1144800400
Name:CRUZ, NORA H
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:H
Last Name:CRUZ
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 1:225 S IH 35
Mailing Address - Street 2:
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061-6630
Mailing Address - Country:US
Mailing Address - Phone:830-334-3237
Mailing Address - Fax:830-334-2952
Practice Address - Street 1:225 S IH 35
Practice Address - Street 2:
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-6630
Practice Address - Country:US
Practice Address - Phone:830-334-3237
Practice Address - Fax:830-334-2952
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148836183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician