Provider Demographics
NPI:1851780175
Name:RAZVI, ZEERAK
Entity Type:Individual
Prefix:
First Name:ZEERAK
Middle Name:
Last Name:RAZVI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZEERAK
Other - Middle Name:
Other - Last Name:MASOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1950 BAGDAD RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6425
Mailing Address - Country:US
Mailing Address - Phone:512-528-1193
Mailing Address - Fax:
Practice Address - Street 1:1950 BAGDAD RD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6425
Practice Address - Country:US
Practice Address - Phone:512-528-1193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX51087OtherTEXAS STATE BOARD OF PHARMACY