Provider Demographics
NPI:1134962087
Name:TX PERFORMANCE MEDS PHARMACY & WELLNESS
Entity type:Organization
Organization Name:TX PERFORMANCE MEDS PHARMACY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-899-8976
Mailing Address - Street 1:1646 BLAISDALE RD STE 2200
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2773
Mailing Address - Country:US
Mailing Address - Phone:346-899-8976
Mailing Address - Fax:832-327-8774
Practice Address - Street 1:1646 BLAISDALE RD STE 2200
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2773
Practice Address - Country:US
Practice Address - Phone:346-899-8976
Practice Address - Fax:832-327-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy