Provider Demographics
NPI:1992033146
Name:SPILLER, FELICIA DANNETTA (RPH)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:DANNETTA
Last Name:SPILLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10850 SCARSDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-5727
Mailing Address - Country:US
Mailing Address - Phone:281-484-6118
Mailing Address - Fax:281-484-1791
Practice Address - Street 1:10850 SCARSDALE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-5727
Practice Address - Country:US
Practice Address - Phone:281-484-6118
Practice Address - Fax:281-484-1791
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist