Provider Demographics
NPI:1487307880
Name:KUNVERJIBHAI PATEL, JASMINA J (PHARMD)
Entity type:Individual
Prefix:
First Name:JASMINA
Middle Name:J
Last Name:KUNVERJIBHAI PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 AIRLINE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-2902
Mailing Address - Country:US
Mailing Address - Phone:615-967-1529
Mailing Address - Fax:
Practice Address - Street 1:17070 RED OAK DR STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2615
Practice Address - Country:US
Practice Address - Phone:713-695-7316
Practice Address - Fax:713-691-4133
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX616711835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist