Provider Demographics
NPI:1598162422
Name:PRESSLY, TONY (BS)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:
Last Name:PRESSLY
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 SIOUX CT
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-3150
Mailing Address - Country:US
Mailing Address - Phone:940-390-4196
Mailing Address - Fax:
Practice Address - Street 1:2902 SIOUX CT
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-3150
Practice Address - Country:US
Practice Address - Phone:940-390-4196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist