Provider Demographics
NPI:1164758793
Name:TCHAO, NI ANNIE (RPH)
Entity Type:Individual
Prefix:
First Name:NI
Middle Name:ANNIE
Last Name:TCHAO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5297 HWY 121
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2614
Mailing Address - Country:US
Mailing Address - Phone:972-668-1944
Mailing Address - Fax:
Practice Address - Street 1:5297 HWY 121
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2614
Practice Address - Country:US
Practice Address - Phone:469-384-2220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist