Organization
TEXAS CHILDREN'S HOSPITAL
Active
Other names
Texas Children's Hospital - Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WELDON GAGE (CFO)
(832) 828-3660
Entity
Organization
Contact information
Practice address
12613 CITYPARK DR STE 200, RM. 130.02, MISSOURI CITY, TX 77489-1244
(877) 727-2503
(832) 825-1007
Mailing address
12613 CITYPARK DR STE 200, RM. 130.02, MISSOURI CITY, TX 77489-1244
(877) 727-2503
(832) 825-1007
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386278406
—
TX
Enumeration date
02/27/2020
Last updated
04/01/2026
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