Organization
TRAVIS INTERNATIONAL INC
Active
Other names
PCF PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TAM NGUYEN (PRESIDENT)
(713) 947-6767
Entity
Organization
Contact information
Practice address
2615 STRAWBERRY RD, PASADENA, TX 77502-5103
(713) 947-6767
(713) 947-6768
Mailing address
10904 SCARSDALE BLVD, SUITE 350-137, HOUSTON, TX 77089-6068
(713) 947-6767
(713) 947-6768
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27250
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901954
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/03/2010
Last updated
12/08/2010
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