Provider Demographics
NPI:1861282253
Name:HA, HIEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HIEN
Middle Name:
Last Name:HA
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:HIEN
Other - Middle Name:L
Other - Last Name:HA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MRS HIEN HA
Mailing Address - Street 1:4301 BROADWAY # 99
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6318
Mailing Address - Country:US
Mailing Address - Phone:713-498-7883
Mailing Address - Fax:
Practice Address - Street 1:11212 STATE HIGHWAY 151
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4498
Practice Address - Country:US
Practice Address - Phone:713-498-7883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX401141835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy