Provider Demographics
NPI:1225367048
Name:FOREMAN, MICHAEL LYNN (RPH)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:LYNN
Last Name:FOREMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8808 ANTOINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-1626
Mailing Address - Country:US
Mailing Address - Phone:281-272-2592
Mailing Address - Fax:281-272-2892
Practice Address - Street 1:8808 ANTOINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-1626
Practice Address - Country:US
Practice Address - Phone:281-272-2592
Practice Address - Fax:281-272-2892
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist