Provider Demographics
NPI:1821697004
Name:KUMAR, RAJESWARI
Entity Type:Individual
Prefix:
First Name:RAJESWARI
Middle Name:
Last Name:KUMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 E FRANKLIN ST # 100
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-2621
Mailing Address - Country:US
Mailing Address - Phone:915-706-2160
Mailing Address - Fax:915-706-2164
Practice Address - Street 1:1323 E FRANKLIN ST # 100
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2621
Practice Address - Country:US
Practice Address - Phone:915-706-2160
Practice Address - Fax:915-706-2164
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX316823336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy