Provider Demographics
NPI:1235679648
Name:MONTEMAYOR, ADRIANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:MONTEMAYOR
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 1:1873 ISLAND FALLS CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-7728
Mailing Address - Country:US
Mailing Address - Phone:713-825-1770
Mailing Address - Fax:
Practice Address - Street 1:9230 KIRBY DR STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2593
Practice Address - Country:US
Practice Address - Phone:713-634-1609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX394331835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist