Provider Demographics
NPI:1346861119
Name:HO, TRENT D (RPH)
Entity Type:Individual
Prefix:
First Name:TRENT
Middle Name:D
Last Name:HO
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 1:4025 OLD DENTON RD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1023
Mailing Address - Country:US
Mailing Address - Phone:469-557-7719
Mailing Address - Fax:469-557-7715
Practice Address - Street 1:4025 OLD DENTON RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1023
Practice Address - Country:US
Practice Address - Phone:469-557-7719
Practice Address - Fax:469-557-7715
Is Sole Proprietor?:No
Enumeration Date:2020-05-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1346598323Medicaid