Provider Demographics
NPI:1801966114
Name:DINGUS, SYLVIA JANE (RPH)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:JANE
Last Name:DINGUS
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 1:901 E TAHOKA RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BROWNFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79316-3817
Mailing Address - Country:US
Mailing Address - Phone:806-637-7049
Mailing Address - Fax:806-637-9357
Practice Address - Street 1:901 E TAHOKA RD
Practice Address - Street 2:SUITE B
Practice Address - City:BROWNFIELD
Practice Address - State:TX
Practice Address - Zip Code:79316-3817
Practice Address - Country:US
Practice Address - Phone:806-637-7049
Practice Address - Fax:806-637-9357
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist