Provider Demographics
NPI:1154178911
Name:AALWAWEE, ALTAF (RPH)
Entity type:Individual
Prefix:
First Name:ALTAF
Middle Name:
Last Name:AALWAWEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 ZEPHYR GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7094
Mailing Address - Country:US
Mailing Address - Phone:832-705-2550
Mailing Address - Fax:
Practice Address - Street 1:3210 ZEPHYR GLEN WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7094
Practice Address - Country:US
Practice Address - Phone:832-705-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43659183500000X
TX71334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist