Organization
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Active
Other names
GULF STATES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (SR. VICE PRESIDENT, UTHEALTH AND CO)
(832) 325-7325
Entity
Organization
Contact information
Practice address
7000 FANNIN STREET, SUITE 1900, HOUSTON, TX 77030-5400
(713) 500-8385
(713) 500-8384
Mailing address
PO BOX 301458, DALLAS, TX 75303-1458
(713) 500-8327
(713) 500-8205
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
15679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068690902
—
TX
01
—
2104355
PK
—
Enumeration date
09/28/2007
Last updated
11/14/2022
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