Provider Demographics
NPI:1821684218
Name:NEWMAN, AVA D (RPH)
Entity Type:Individual
Prefix:
First Name:AVA
Middle Name:D
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7202 FALL SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4138
Mailing Address - Country:US
Mailing Address - Phone:832-372-3607
Mailing Address - Fax:346-570-4911
Practice Address - Street 1:256 N SAM HOUSTON PKWY E STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-2006
Practice Address - Country:US
Practice Address - Phone:832-328-0923
Practice Address - Fax:346-570-4911
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist