Provider Demographics
NPI:1366617755
Name:MERCADEL, ALLISON G (RPH)
Entity type:Individual
Prefix:MR
First Name:ALLISON
Middle Name:G
Last Name:MERCADEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20333 STATE HIGHWAY 249
Mailing Address - Street 2:SUITE 450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-2643
Mailing Address - Country:US
Mailing Address - Phone:281-257-7900
Mailing Address - Fax:281-257-7920
Practice Address - Street 1:20333 STATE HIGHWAY 249
Practice Address - Street 2:SUITE 450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2643
Practice Address - Country:US
Practice Address - Phone:281-257-7900
Practice Address - Fax:281-257-7920
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist