Ali Atta

Individual provider Active NPI Compounded Sterile Preparations Pharmacist · Houston, TX

NPI 1033932207 · NPPES record last updated Nov 5, 2024

Key facts

NPI
1033932207
Entity type
Individual (NPI type 1)
Primary specialty
Compounded Sterile Preparations Pharmacist 1835C0207X
License
74039 (TX)
Practice address
6105 Beverlyhill St Ste 2
Houston, TX 77057-6715
Phone
(832) 487-9746
NPI assigned
Nov 5, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
74039TXMDMedical license number

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Compounded Sterile Preparations Pharmacist 1835C0207X 74039 TX Yes

Addresses

Primary practice location

6105 Beverlyhill St Ste 2
Houston, TX 77057-6715

Mailing address

6105 Beverlyhill St Ste 2
Houston, TX 77057-6715
Phone (832) 487-9746

Other providers in Houston, TX

All providers in Houston, TX · Compounded Sterile Preparations Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.