Individual
CARMEN Y NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 BROADWAY ST, HOUSTON, TX 77061-1801
(713) 641-0389
Mailing address
8301 BROADWAY ST, HOUSTON, TX 77061-1801
(713) 641-0389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42901
TX
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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