Provider Demographics
NPI:1497030563
Name:FITZPATRICK, THOMAS PAUL (RPH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:PAUL
Last Name:FITZPATRICK
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 1:2221 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-8132
Mailing Address - Country:US
Mailing Address - Phone:713-221-1774
Mailing Address - Fax:713-221-1954
Practice Address - Street 1:2221 FULTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-8132
Practice Address - Country:US
Practice Address - Phone:713-221-1774
Practice Address - Fax:713-221-1954
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist