Tam Van Ta

NPI #1003185422 in Spring, Texas

Provider Information

NPI Number: 1003185422
Entity Type: Individual
Name: Tam Van Ta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 14, 2011
Last Updated: Dec 14, 2011

Practice Location

Address: 19710 HOLZWARTH RD
City: Spring
State: Texas
ZIP Code: 77388-6215
Phone: (281) 350-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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