Individual
AMANDA SIRISAENGTAKSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(832) 244-0947
Mailing address
3001 MURWORTH DR UNIT 1502, HOUSTON, TX 77025-4433
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
60757
TX
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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