Healthcare Provider Details

I. General information

NPI: 1740855766
Provider Name (Legal Business Name): COMPLETE INFUSION SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14140 SOUTHWEST FWY STE 400
SUGAR LAND TX
77478-3842
US

IV. Provider business mailing address

14140 SOUTHWEST FWY STE 400
SUGAR LAND TX
77478-3842
US

V. Phone/Fax

Practice location:
  • Phone: 281-295-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GREG MITCHELL
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 314-566-7644