Provider Demographics
NPI:1578321923
Name:COWAN, SANDRA TAYLOR (RPH)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:TAYLOR
Last Name:COWAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:TAYLOR
Other - Last Name:COWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:16590 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-5895
Mailing Address - Country:US
Mailing Address - Phone:281-488-3424
Mailing Address - Fax:281-488-7436
Practice Address - Street 1:16590 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-5723
Practice Address - Country:US
Practice Address - Phone:281-488-3424
Practice Address - Fax:281-488-7436
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist