Provider Demographics
NPI:1124673546
Name:SIGNATURE RX
Entity type:Organization
Organization Name:SIGNATURE RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-275-2589
Mailing Address - Street 1:9434 KATY FWY STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6309
Mailing Address - Country:US
Mailing Address - Phone:713-275-2589
Mailing Address - Fax:713-513-5578
Practice Address - Street 1:9434 KATY FWY STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6309
Practice Address - Country:US
Practice Address - Phone:713-275-2589
Practice Address - Fax:713-513-5578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Single Specialty