Individual
MR. ALBERT AUTHER AXEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
213 HURST ST, CENTER, TX 75935-4321
(936) 598-7188
(936) 591-0418
Mailing address
213 HURST ST, CENTER, TX 75935-4321
(936) 598-7188
(936) 591-0418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4515649
—
TX
Enumeration date
02/15/2007
Last updated
07/09/2007
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