Provider Demographics
NPI:1477154961
Name:TANG, NATHAN NHAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:NHAN
Last Name:TANG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12515 MIDLAND CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-8214
Mailing Address - Country:US
Mailing Address - Phone:281-475-3982
Mailing Address - Fax:
Practice Address - Street 1:24809 ALDINE WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-5927
Practice Address - Country:US
Practice Address - Phone:281-203-3320
Practice Address - Fax:281-288-9540
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist