Provider Demographics
NPI:1730782525
Name:TANYI, FELICIA NCHONG
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:NCHONG
Last Name:TANYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14602 WYNBOURN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4702
Mailing Address - Country:US
Mailing Address - Phone:281-543-0866
Mailing Address - Fax:
Practice Address - Street 1:100 N LHS DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-8619
Practice Address - Country:US
Practice Address - Phone:409-755-2568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist