MEDICARE: ACCESS THERAPEUTICS INFUSION, LLC

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	251E00000X	Home Health Agency	22561	TX

General Provider Information

NPI Number	:	1508863010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS THERAPEUTICS INFUSION, LLC

Provider Business Mailing Address
First Line	:	1919 OAKWELL FARMS PKWY
Second Line	:	STE 160
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-1774
Country	:	US
Telephone Number	:	210-930-7200
Fax Number	:	210-930-7235

Provider Business Practice Location Address
First Line	:	1919 OAKWELL FARMS PKWY
Second Line	:	STE 160
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-1777
Country	:	US
Telephone Number	:	210-930-7200
Fax Number	:	210-930-7235

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. GREG ALLEN MCLAIN
Credential	:
Telephone Number	:	210-930-7200

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/22/2020

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