Provider Demographics
NPI:1972897262
Name:MATHER, DANIELLE LEIGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LEIGH
Last Name:MATHER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 WESTHEIMER RD
Mailing Address - Street 2:T-0075
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3201
Mailing Address - Country:US
Mailing Address - Phone:713-580-0178
Mailing Address - Fax:713-580-0178
Practice Address - Street 1:10801 WESTHEIMER RD
Practice Address - Street 2:T-0075
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3201
Practice Address - Country:US
Practice Address - Phone:713-580-0178
Practice Address - Fax:713-580-0178
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist