Provider Demographics
NPI:1457636748
Name:KUO, PEI HWA (R PH PHARMACIST)
Entity Type:Individual
Prefix:
First Name:PEI HWA
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:R PH PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 KELLEY STREET
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026
Mailing Address - Country:US
Mailing Address - Phone:713-566-5136
Mailing Address - Fax:
Practice Address - Street 1:5656 KELLEY STREET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026
Practice Address - Country:US
Practice Address - Phone:713-566-5136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41979333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41979OtherTX STATE BOARD OF PHARMACY