Provider Demographics
NPI:1932406782
Name:TEXAS FAMILY PHARMACY
Entity Type:Organization
Organization Name:TEXAS FAMILY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:956-746-9805
Mailing Address - Street 1:508 W GRIFFIN PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2223
Mailing Address - Country:US
Mailing Address - Phone:956-580-1111
Mailing Address - Fax:956-580-1112
Practice Address - Street 1:508 W. GRIFFIN PARKWAY
Practice Address - Street 2:SUITE C
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572
Practice Address - Country:US
Practice Address - Phone:956-580-1111
Practice Address - Fax:956-580-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5902829OtherNCPDP
TX146365Medicaid
TX5902829OtherNCPDP