Provider Demographics
NPI:1013916873
Name:IZFAR, CHEN-FUNG SOO (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHEN-FUNG
Middle Name:SOO
Last Name:IZFAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:IZFAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH ( PHARMACIST )
Mailing Address - Street 1:10 TOKENEKE TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6727
Mailing Address - Country:US
Mailing Address - Phone:713-467-2807
Mailing Address - Fax:713-467-2424
Practice Address - Street 1:6630 DE MOSS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5004
Practice Address - Country:US
Practice Address - Phone:713-272-5578
Practice Address - Fax:713-272-5550
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist