Provider Demographics
NPI:1831996354
Name:CENTAURI HEALTHCARE GROUP L.L.C.
Entity type:Organization
Organization Name:CENTAURI HEALTHCARE GROUP L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:J
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:469-396-1104
Mailing Address - Street 1:9950 WESTPARK DR STE 285
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5275
Mailing Address - Country:US
Mailing Address - Phone:281-201-4408
Mailing Address - Fax:903-405-4746
Practice Address - Street 1:9950 WESTPARK DR STE 285
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5275
Practice Address - Country:US
Practice Address - Phone:281-201-4408
Practice Address - Fax:903-405-4746
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTAURI HEALTHCARE GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy