MIND BALANCE INFUSIONS NPI 1548915044

NPI Information

NPI: 1548915044
Provider Name: MIND BALANCE INFUSIONS
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 45D2257165

Address:
200 VALLEY WOOD DR STE B300
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 719-8303
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MIND BALANCE INFUSIONS is an infusion therapy clinic center in The Woodlands, TX. MIND BALANCE INFUSIONS NPI is 1548915044. The provider is registered as an organization entity type.

The provider's business location address is:

200 VALLEY WOOD DR STE B300
THE WOODLANDS, TX
ZIP 77380-410
Phone: (281) 719-8303

The provider's authorized official is Laura Renee Jackson .
The authorized official title is Owner/member and has the following contact phone number (281) 719-8303.

The CLIA number assigned to this NPI record is 45D2257165 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2022 and was last updated on 2/14/2022.

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	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

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