Provider Demographics
NPI:1437926508
Name:CRUZ, JESUS ISAIAH III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:ISAIAH
Last Name:CRUZ
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E NOLANA AVE STE 22
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6106
Mailing Address - Country:US
Mailing Address - Phone:956-687-2500
Mailing Address - Fax:
Practice Address - Street 1:801 E NOLANA AVE STE 22
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6106
Practice Address - Country:US
Practice Address - Phone:956-687-2500
Practice Address - Fax:956-971-0400
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73081183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist