Individual
AN TIEU MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7102 FM 1464 RD, RICHMOND, TX 77407-6429
(281) 494-1984
Mailing address
6520 BROADWAY ST APT 1223, PEARLAND, TX 77581-7725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059747
TX
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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