Healthcare Provider Details

I. General information

NPI: 1578259438
Provider Name (Legal Business Name): FUSIONRX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 S LOOP W STE 555
HOUSTON TX
77054-2652
US

IV. Provider business mailing address

2626 S LOOP W STE 555
HOUSTON TX
77054-2652
US

V. Phone/Fax

Practice location:
  • Phone: 888-242-3098
  • Fax: 888-413-9271
Mailing address:
  • Phone: 228-363-0500
  • Fax: 888-413-9271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TAMMY NERON
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 228-363-0500