Provider Demographics
NPI:1689099673
Name:HEALTHSCRIPTS OF AMERICA-SOUTHWEST TEXAS, LLC
Entity Type:Organization
Organization Name:HEALTHSCRIPTS OF AMERICA-SOUTHWEST TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEZAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-494-3210
Mailing Address - Street 1:6565 WEST LOOP S
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3500
Mailing Address - Country:US
Mailing Address - Phone:832-494-3210
Mailing Address - Fax:832-494-3218
Practice Address - Street 1:2803 DULLES AVE
Practice Address - Street 2:SUITE 2817
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2950
Practice Address - Country:US
Practice Address - Phone:855-299-3340
Practice Address - Fax:855-894-6409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX290503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy