Infusion Services & Specialty Pharmacy

LBN: Infusion Services & Specialty Pharmacy
Infusion Services & Specialty Pharmacy is an health care organization with primary practice located at 1724 E Broad St Ste 136 , Mansfield TX 76063-9140. The organization recently has only one registered license in Nursing Service Providers / Infusion Therapy, which is considered as the primary health care specialty. Infusion Services & Specialty Pharmacy can be contacted via phone (817) 453-5022, or through Proctor, Marsha via phone (817) 453-5022.

Contact Information

Primary practice address
1724 E Broad St Ste 136 Mansfield TX 76063-9140
Phone: (817) 453-5022
Fax: (817) 453-5027
Website:
Map and Directions
Authorized official contact:
Name: Proctor, Marsha
Phone: (817) 453-5022

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infusion Therapy 163WI0500X

Profile Details

NPI number 1417536046
LBN Legal business name Infusion Services & Specialty Pharmacy
DBA Doing business as
Authorized official Proctor, Marsha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2021
Last updated Apr 2nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417536046 NPPES
Texas MEDICAID 321070

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