Healthcare Provider Details

I. General information

NPI: 1356274328
Provider Name (Legal Business Name): CLINICAL SPECIALTY INFUSIONS OF DALLAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 - 1699 MAIN STREET
SPRINGFIELD MA
01103
US

IV. Provider business mailing address

5340 LEGACY DR STE 115
PLANO TX
75024-3393
US

V. Phone/Fax

Practice location:
  • Phone: 833-569-1005
  • Fax:
Mailing address:
  • Phone: 833-569-1005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES LYNN SHEETS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 833-569-1005