Provider Demographics
NPI:1316560980
Name:AU, TERESA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:AU
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:4727 DEEPWATER LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3548
Mailing Address - Country:US
Mailing Address - Phone:281-788-7840
Mailing Address - Fax:
Practice Address - Street 1:25050 FM 1093 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3616
Practice Address - Country:US
Practice Address - Phone:832-586-7376
Practice Address - Fax:832-586-7378
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX504551835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist