Provider Demographics
NPI:1871878389
Name:ERALES, FELIX MIGUEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:MIGUEL
Last Name:ERALES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:ERALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3030 GREENRIDGE DR APT 16
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6009
Mailing Address - Country:US
Mailing Address - Phone:832-444-1011
Mailing Address - Fax:
Practice Address - Street 1:6730 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4804
Practice Address - Country:US
Practice Address - Phone:713-988-6407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist