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Individual

BRIAN R FASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2002 HOLCOMBE BLVD, 2B-166, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2002 HOLCOMBE BLVD, 2B-166, HOUSTON, TX 77030-4211
(713) 791-1414

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036121
MI

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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