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PARK INFUSIONCARE LP NPI 1194024141


NPI Information

NPI: 1194024141
Provider Name: PARK INFUSIONCARE, LP
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
13619 INWOOD RD
STE. 360
DALLAS, TX
ZIP 75244
Phone: (214) 353-9090
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PARK INFUSIONCARE, LP is a parenteral and enteral nutrition durable medical equipment medical supplies in Dallas, TX. PARK INFUSIONCARE, LP NPI is 1194024141. The provider is registered as an organization entity type.

The provider's business location address is:

13619 INWOOD RD
STE. 360
DALLAS, TX
ZIP 75244
Phone: (214) 353-9090
Fax: (214) 353-9594

The provider's authorized official is William Keys .
The authorized official title is Ceo and has the following contact phone number (480) 446-9010.

The enumeration date for this NPI number is 3/16/2011 and was last updated on 8/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12832511 02MEDICAIDTEXAS
2283251101MEDICAIDTEXAS

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

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