MPP INFUSION CENTER OF TYLER LLC NPI 1952812109

NPI Information

NPI: 1952812109
Provider Name: MPP INFUSION CENTER OF TYLER LLC

Former Legal Business Name: MEDICAL MANAGEMENT COMPANY OF TYLER

Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
6115 NEW COPELAND RD STE 120.130
TYLER, TX
ZIP 75703
Phone: (972) 598-0000
Get Directions

MPP INFUSION CENTER OF TYLER LLC is an infusion therapy clinic center in Tyler, TX. MPP INFUSION CENTER OF TYLER LLC NPI is 1952812109. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Medical Management Company Of Tyler.

The provider's business location address is:

6115 NEW COPELAND RD STE 120.130
TYLER, TX
ZIP 75703-369
Phone: (972) 598-0000

The provider's authorized official is Sue Ellen Rottura .
The authorized official title is Chief Operating Officer and has the following contact phone number (561) 323-8987.

The CLIA number assigned to this NPI record is 45D2184931 - other - infusion center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 4/11/2022.

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	207RR0500X	Internal Medicine	Rheumatology			No
2	261QI0500X	Clinic/Center	Infusion Therapy			Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »