Healthcare Provider Details

I. General information

NPI: 1235905605
Provider Name (Legal Business Name): FRONTIER INFUSION CENTER RP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 BLUE RIDGE DR STE 203
GEORGETOWN TX
78626-1002
US

IV. Provider business mailing address

7616 BRANFORD PL STE 210
SUGAR LAND TX
77479-3794
US

V. Phone/Fax

Practice location:
  • Phone: 212-518-3755
  • Fax:
Mailing address:
  • Phone: 212-518-3755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS HUTCHINSON
Title or Position: COO
Credential:
Phone: 212-518-3755