Provider Demographics
NPI:1992032247
Name:TARABEH, IYAD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:IYAD
Middle Name:
Last Name:TARABEH
Suffix:
Gender:M
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 1:6730 HILLCROFT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4804
Mailing Address - Country:US
Mailing Address - Phone:713-988-6407
Mailing Address - Fax:713-988-9482
Practice Address - Street 1:6730 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4804
Practice Address - Country:US
Practice Address - Phone:713-988-6407
Practice Address - Fax:713-988-9482
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41401183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist