Provider Demographics
NPI:1184874653
Name:KATTURA, RANIA SAMIR (PHARMD, MS; BCPP)
Entity type:Individual
Prefix:DR
First Name:RANIA
Middle Name:SAMIR
Last Name:KATTURA
Suffix:
Gender:F
Credentials:PHARMD, MS; BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 GUADALUPE ST.
Mailing Address - Street 2:DEPARTMENT OF PHARMACY
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751
Mailing Address - Country:US
Mailing Address - Phone:512-419-2700
Mailing Address - Fax:512-419-2750
Practice Address - Street 1:4110 GUADALUPE ST
Practice Address - Street 2:DEPT OF PHARMACY
Practice Address - City:AUSITN
Practice Address - State:TX
Practice Address - Zip Code:78751
Practice Address - Country:US
Practice Address - Phone:512-419-2700
Practice Address - Fax:512-419-2750
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX442901835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX44290OtherTEXAS STATE BOARD OF PHARMACY