Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Diks

Individual provider Pharmacist · NPI 1790654663

Ethan Diks is a Pharmacist in Manor, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

18304 Flathead Dr
Manor, TX 78653-4678
Phone: (661) 557-8706
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 44101 (TX)

Record details

NPI number1790654663
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address18304 Flathead Dr, Manor, TX 78653-4678

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