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Organization

HOUSTON PHYSICIANS MEDICAL ASSOCIATION P L L C

Active
Other names
PATIENT DIRECT PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY MOLLOY (COO)
(281) 364-8887
Entity
Organization

Contact information

Practice address
920 MEDICAL PLAZA DR, STE 140, SHENANDOAH, TX 77380-3260
(281) 298-1129
(281) 298-1168
Mailing address
920 MEDICAL PLAZA DR, STE 140, SHENANDOAH, TX 77380-3260
(281) 298-1129
(281) 298-1168

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25837
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4547139
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/10/2008
Last updated
11/05/2009
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