Individual
BRIA WATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
7207 PEMBROUGH LN, KATY, TX 77494-7012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023126
LA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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