Healthcare Provider Details

I. General information

NPI: 1700514734
Provider Name (Legal Business Name): MEDFUSE RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 BINGLE RD
HOUSTON TX
77055-1009
US

IV. Provider business mailing address

2949 BINGLE RD
HOUSTON TX
77055-1009
US

V. Phone/Fax

Practice location:
  • Phone: 281-888-7322
  • Fax: 281-888-7422
Mailing address:
  • Phone: 281-888-7322
  • Fax: 281-888-7422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. AMRON FISCHMAN
Title or Position: OWNER
Credential:
Phone: 281-888-7322