Provider Demographics
NPI:1225706021
Name:CISTRONRX HEALTH LLC
Entity Type:Organization
Organization Name:CISTRONRX HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:JANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-264-5783
Mailing Address - Street 1:3130 GRANTS LAKE BLVD UNIT 17871
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-0887
Mailing Address - Country:US
Mailing Address - Phone:832-264-5783
Mailing Address - Fax:
Practice Address - Street 1:11 CASTELLO LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1119
Practice Address - Country:US
Practice Address - Phone:832-264-5783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date: