Provider Demographics
NPI:1497002034
Name:TRAYLOR, CURTIS HAROLD (RPH)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:HAROLD
Last Name:TRAYLOR
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 1:8901 FM 1960 BYPASS WEST
Mailing Address - Street 2:#102
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-446-0061
Mailing Address - Fax:281-446-1353
Practice Address - Street 1:8901 FM 1960 BYPASS WEST
Practice Address - Street 2:#102
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:281-446-0061
Practice Address - Fax:281-446-1353
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist