INFUSION SERVICES & SPECIALTY PHARMACY NPI 1417536046

NPI Information

NPI: 1417536046
Provider Name: INFUSION SERVICES & SPECIALTY PHARMACY
Classification: Registered Nurse - 163WI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
1724 E BROAD ST STE 136
MANSFIELD, TX
ZIP 76063
Phone: (817) 453-5022
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INFUSION SERVICES & SPECIALTY PHARMACY is an infusion therapy registered nurse in Mansfield, TX. INFUSION SERVICES & SPECIALTY PHARMACY NPI is 1417536046. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1724 E BROAD ST STE 136
MANSFIELD, TX
ZIP 76063-140
Phone: (817) 453-5022
Fax: (817) 453-5027

The provider's authorized official is Marsha Proctor .
The authorized official title is Cco and has the following contact phone number (817) 453-5022.

The enumeration date for this NPI number is 4/2/2021 and was last updated on 4/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WI0500X	Registered Nurse	Infusion Therapy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	321070	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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