Provider Demographics
NPI:1295867430
Name:TRAN, CHRISTINA X (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:X
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 FONDREN RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2319
Mailing Address - Country:US
Mailing Address - Phone:713-781-8675
Mailing Address - Fax:713-780-0204
Practice Address - Street 1:2500 FONDREN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2319
Practice Address - Country:US
Practice Address - Phone:713-781-8675
Practice Address - Fax:713-780-0204
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145011Medicaid