Provider Demographics
NPI:1396475109
Name:TXPROMED LLC
Entity type:Organization
Organization Name:TXPROMED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-488-1810
Mailing Address - Street 1:18446 HIGHWAY 105 W STE D
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-6048
Mailing Address - Country:US
Mailing Address - Phone:936-448-8296
Mailing Address - Fax:346-241-1589
Practice Address - Street 1:18446 HIGHWAY 105 W STE D
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-6048
Practice Address - Country:US
Practice Address - Phone:936-488-8296
Practice Address - Fax:346-241-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy