MEDICARE: PARAGON INFUSION CARE, INC.

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	251F00000X	Home Infusion Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	3336S0011X	Specialty Pharmacy
5	3336H0001X	Home Infusion Therapy Pharmacy	26457	TX

General Provider Information

NPI Number	:	1831324045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAGON INFUSION CARE, INC.

Provider Business Mailing Address
First Line	:	3033 W PRESIDENT GEORGE BUSH HWY STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5752
Country	:	US
Telephone Number	:	972-588-1000
Fax Number	:	866-491-5888

Provider Business Practice Location Address
First Line	:	1922 DRY CREEK WAY STE 110
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-1840
Country	:	US
Telephone Number	:	210-591-6700
Fax Number	:	210-495-0453

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AMY MULDERRY
Credential	:
Telephone Number	:	972-588-1000

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	11/12/2024

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