Provider Demographics
NPI:1154643443
Name:SOUTH TEXAS RX
Entity Type:Organization
Organization Name:SOUTH TEXAS RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-210-7880
Mailing Address - Street 1:13121 LOUETTA RD
Mailing Address - Street 2:#100
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5155
Mailing Address - Country:US
Mailing Address - Phone:281-210-7880
Mailing Address - Fax:
Practice Address - Street 1:13121 LOUETTA RD
Practice Address - Street 2:#100
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5155
Practice Address - Country:US
Practice Address - Phone:281-210-7880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-27
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty