Provider Demographics
NPI:1528397213
Name:TA, TUAN MINH (PHARMD)
Entity Type:Individual
Prefix:
First Name:TUAN
Middle Name:MINH
Last Name:TA
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 1:950 STUDEMONT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5923
Mailing Address - Country:US
Mailing Address - Phone:713-863-7663
Mailing Address - Fax:713-863-8005
Practice Address - Street 1:950 STUDEMONT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-5923
Practice Address - Country:US
Practice Address - Phone:713-863-7663
Practice Address - Fax:713-863-8005
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist