Provider Demographics
NPI:1306916606
Name:OULDHOUSE, MEGAN (RPH BCOP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:OULDHOUSE
Suffix:
Gender:F
Credentials:RPH BCOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7038 CASA LOMA AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-4006
Mailing Address - Country:US
Mailing Address - Phone:972-566-5608
Mailing Address - Fax:972-566-5610
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:D-220
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-5608
Practice Address - Fax:972-566-5610
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX330371835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology