Provider Demographics
NPI:1518247261
Name:BRAGER, XAVIER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:
Last Name:BRAGER
Suffix:
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 1:6111 PINCAY OAKS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2429
Mailing Address - Country:US
Mailing Address - Phone:832-660-7423
Mailing Address - Fax:
Practice Address - Street 1:731 WHITLOCK AVE SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3033
Practice Address - Country:US
Practice Address - Phone:770-427-3143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist