Provider Demographics
NPI:1063119378
Name:TEXAS COMPOUNDING EXPERTS
Entity type:Organization
Organization Name:TEXAS COMPOUNDING EXPERTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VIPPARLA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-432-9855
Mailing Address - Street 1:101 BIG SKY CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2751
Mailing Address - Country:US
Mailing Address - Phone:203-522-1893
Mailing Address - Fax:
Practice Address - Street 1:4061F BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1121
Practice Address - Country:US
Practice Address - Phone:713-432-9855
Practice Address - Fax:713-432-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy