Healthcare Provider Details
I. General information
NPI: 1508723206
Provider Name (Legal Business Name): INFUSION THERAPY OF THE UNITED STATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2990 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-4663
US
IV. Provider business mailing address
PO BOX 211624
AUGUSTA GA
30917-1624
US
V. Phone/Fax
- Phone: 508-944-3424
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0102X |
| Taxonomy | Surgical Critical Care Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TAYLAN
BOZKURT
Title or Position: MANAGER
Credential:
Phone: 508-944-3424