Individual
REGINALD CHETA UDEMGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4412 NORTH FWY, HOUSTON, TX 77022-3606
(703) 300-0518
(713) 300-0512
Mailing address
4011 ALEXIS CIR, HOUSTON, TX 77014-1878
(601) 897-0364
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53203
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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