Provider Demographics
NPI:1184997975
Name:METU, CHARLES I (RPH)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:I
Last Name:METU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7631 QUAIL MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2315
Mailing Address - Country:US
Mailing Address - Phone:713-728-2842
Mailing Address - Fax:713-728-5034
Practice Address - Street 1:7634 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-5806
Practice Address - Country:US
Practice Address - Phone:713-774-2180
Practice Address - Fax:713-774-6954
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28876183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist