Individual
ALEX FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16655 SOUTHWEST FWY, SUGAR LAND, TX 77479-2329
(281) 274-7000
Mailing address
203 S 9TH ST, NEDERLAND, TX 77627-2534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73192
TX
Other
Enumeration date
06/10/2020
Last updated
04/11/2024
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