Provider Demographics
NPI:1134442908
Name:T & T VENTURES
Entity type:Organization
Organization Name:T & T VENTURES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUORAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-498-0705
Mailing Address - Street 1:8305 N LA HOMA RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-5455
Mailing Address - Country:US
Mailing Address - Phone:956-583-5552
Mailing Address - Fax:956-583-5553
Practice Address - Street 1:8305 N LA HOMA RD
Practice Address - Street 2:SUITE A
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-5455
Practice Address - Country:US
Practice Address - Phone:956-583-5552
Practice Address - Fax:956-583-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX267983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2188765Medicaid
2124006OtherPK
TX146122Medicaid