CHOICE SOURCE THERAPEUTIC OF HOUSTON TEXAS L.L.C. NPI 1164403069

NPI Information

NPI: 1164403069
Provider Name: CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C.
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
20333 STATE HIGHWAY 249
SUITE 450
HOUSTON, TX
ZIP 77070
Phone: (281) 257-7900
Get Directions

CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C. is a specialty pharmacy pharmacy in Houston, TX. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. CHOICE SOURCE THERAPEUTIC OF HOUSTON, TEXAS, L.L.C. NPI is 1164403069. The provider is registered as an organization entity type.

The provider's business location address is:

20333 STATE HIGHWAY 249
SUITE 450
HOUSTON, TX
ZIP 77070
Phone: (281) 257-7900
Fax: (281) 257-7920

The provider's authorized official is David William Border .
The authorized official title is Authorized Signer and has the following contact phone number (800) 225-5967.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 4/23/2010.

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	332B00000X	Durable Medical Equipment & Medical Supplies		19617	TEXAS	No
2	333600000X	Pharmacy		19617	TEXAS	No
3	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	19617	TEXAS	No
4	3336S0011X	Pharmacy	Specialty Pharmacy			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	580024	OTHER	TEXAS	MEDICARE B (TRAILBLAZER)
2	806568400	MEDICAID	IDAHO
3	100560035	MEDICAID	ALABAMA
4	320199	MEDICAID	TEXAS
5	2441423	MEDICAID	OHIO
6	200422190	MEDICAID	INDIANA
7	320199	OTHER	TEXAS	CHIP
8	AH05	OTHER	TEXAS	HEMO ASSISTANCE
9	100245870A	MEDICAID	OKLAHOMA
10	091576105	MEDICAID	TEXAS
11	091576104	MEDICAID	TEXAS
12	009914034	MEDICAID	ALABAMA
13	1270240001	MEDICARE NSC	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: 4/28/2024

NPI Synchronization or Removal

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