Provider Demographics
NPI:1649583667
Name:VENTERS, DEMITRICE LEVET (RPH)
Entity type:Individual
Prefix:MISS
First Name:DEMITRICE
Middle Name:LEVET
Last Name:VENTERS
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 1:388 UVALDE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2213
Mailing Address - Country:US
Mailing Address - Phone:713-455-9944
Mailing Address - Fax:
Practice Address - Street 1:388 UVALDE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2213
Practice Address - Country:US
Practice Address - Phone:713-455-9944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist