Provider Demographics
NPI:1225244098
Name:HENGEL, DELLA DEVINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DELLA
Middle Name:DEVINE
Last Name:HENGEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18062 FM 529 RD
Mailing Address - Street 2:SUITE 161
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:188-866-7896
Practice Address - Street 1:10555 TURTLEWOOD
Practice Address - Street 2:SUITE 2005
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072
Practice Address - Country:US
Practice Address - Phone:281-849-8581
Practice Address - Fax:188-866-7896
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41569OtherTEXAS PHARMACIST LICENSE