Provider Demographics
NPI:1386628014
Name:BEHRMAN, KATHLEEN RIGSBY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:RIGSBY
Last Name:BEHRMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5419 SANFORD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-6114
Mailing Address - Country:US
Mailing Address - Phone:713-721-6003
Mailing Address - Fax:
Practice Address - Street 1:2727 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1669
Practice Address - Country:US
Practice Address - Phone:713-442-0079
Practice Address - Fax:713-442-5110
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX22435Medicaid
TX4561545OtherNABP
TXBC6315546OtherDEA