Provider Demographics
NPI:1548598444
Name:HO, TOM NGOC (RPH)
Entity Type:Individual
Prefix:MR
First Name:TOM
Middle Name:NGOC
Last Name:HO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2401 RANCH ROAD 620 S
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5603
Mailing Address - Country:US
Mailing Address - Phone:512-263-7887
Mailing Address - Fax:512-263-8540
Practice Address - Street 1:2401 RANCH ROAD 620 S
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78738-5603
Practice Address - Country:US
Practice Address - Phone:512-263-7887
Practice Address - Fax:512-263-8540
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist