EVOLUTION IV LLC NPI 1083200075

NPI Information

NPI: 1083200075
Provider Name: EVOLUTION IV, LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
14615 SAN PEDRO AVE STE 105
SAN ANTONIO, TX
ZIP 78232
Phone: (914) 906-4004
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EVOLUTION IV, LLC is an infusion therapy clinic center in San Antonio, TX. EVOLUTION IV, LLC NPI is 1083200075. The provider is registered as an organization entity type.

The provider's business location address is:

14615 SAN PEDRO AVE STE 105
SAN ANTONIO, TX
ZIP 78232-364
Phone: (914) 906-4004

The provider's authorized official is Lautaro Sanfilippo .
The authorized official title is Ceo and has the following contact phone number (347) 306-0338.

The enumeration date for this NPI number is 12/14/2020 and was last updated on 12/14/2020.

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	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: 4/28/2024

NPI Synchronization or Removal

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