Tangu, Keumboh (Kim)

Tangu, Keumboh (Kim) is an individual health care provider with primary practice located at 2800 S Macgregor Way , Houston TX 77021-1032. She recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as her primary health care specialty. Tangu, Keumboh (Kim) can be contacted via phone (713) 741-8652.

Contact Information

Primary practice address
2800 S Macgregor Way Houston TX 77021-1032
Phone: (713) 741-8652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 45059 Texas

Profile Details

NPI number 1629362918
LBN Legal business name Tangu, Keumboh (Kim)
Credentials PHARMD, BCPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Nov 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629362918 NPPES
Other 884433 BOARD OF PHARMACY SPECIALTIES (BPS)

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