Provider Demographics
NPI:1215162912
Name:HOUSTON, TERENCE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12865 CAPRICORN ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3915
Mailing Address - Country:US
Mailing Address - Phone:281-840-3900
Mailing Address - Fax:
Practice Address - Street 1:12865 CAPRICORN ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3915
Practice Address - Country:US
Practice Address - Phone:281-840-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-25
Last Update Date:2018-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAPST.022065OtherLOUISIANA BOARD OF PHARMACY
FLPS37848OtherFLORIDA BOARD OF PHARMACY
TX43731OtherTEXAS BOARD OF PHARMACY