Provider Demographics
NPI:1336158229
Name:WAYBRIGHT, REBECCA HOUSTON (RPH)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:HOUSTON
Last Name:WAYBRIGHT
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 1:1839 COTTAGE LANDING LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1926
Mailing Address - Country:US
Mailing Address - Phone:281-589-8905
Mailing Address - Fax:
Practice Address - Street 1:1839 COTTAGE LANDING LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1926
Practice Address - Country:US
Practice Address - Phone:281-589-8905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28490183500000X
SC4852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist