MEDICARE: CENTRAL LINE INFUSION DALLAS DIVISION LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	23275	TX
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	23275	TX
3	335G00000X	Medical Foods Supplier
4	3336H0001X	Home Infusion Therapy Pharmacy	23275	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	23275	OTHER	TX	BOARD OF PHARMACY
3	4531352	OTHER	TX	NCPDP

General Provider Information

NPI Number	:	1285678490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL LINE INFUSION DALLAS DIVISION LTD

Provider Business Mailing Address
First Line	:	PO BOX 223017
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-2017
Country	:	US
Telephone Number	:	800-477-7375
Fax Number	:	877-676-0493

Provider Business Practice Location Address
First Line	:	8080 TRISTAR DRIVE
Second Line	:	SUITE 120
City	:	IRVING
State	:	TX
Zip	:	75063-2823
Country	:	US
Telephone Number	:	972-815-0460
Fax Number	:	972-915-3841

Authorized Official
Title or Position	:	CFO
Name	:	ALEX KATEN
Credential	:
Telephone Number	:	800-477-7375

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	10/02/2025

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Directions to “CENTRAL LINE INFUSION DALLAS DIVISION LTD ” Practice Location

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