Provider Demographics
NPI:1891804621
Name:HO, TUYEN KIM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TUYEN
Middle Name:KIM
Last Name:HO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 BOY SCOUT LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79922-2201
Mailing Address - Country:US
Mailing Address - Phone:915-564-7529
Mailing Address - Fax:915-564-7850
Practice Address - Street 1:5001 N PIEDRAS ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79930-4210
Practice Address - Country:US
Practice Address - Phone:915-564-7529
Practice Address - Fax:915-564-7801
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329371835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy