Provider Demographics
NPI:1336741933
Name:VERA, REINA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:REINA
Middle Name:
Last Name:VERA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9598 ROWLETT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-2414
Mailing Address - Country:US
Mailing Address - Phone:832-386-0160
Mailing Address - Fax:
Practice Address - Street 1:9598 ROWLETT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-2414
Practice Address - Country:US
Practice Address - Phone:832-386-0160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX24376OtherTEXAS STATE BOARD OF PHARMACY