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General NPI Number Information
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NPI Number | 1467952150
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Entity Type | Organization
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Legal Business Name | INFUSION SERVICES OF TEXAS, LLC
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 7213 RED HAWK CT
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City | FORT WORTH
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State | TX
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Zip | 76132
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Country | US
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Telephone | 832-409-5331
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Fax | 832-409-5346
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Provider Business Mailing Address
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Address Line | 7213 RED HAWK CT
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City | FORT WORTH
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State | TX
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Zip | 76132
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Country | US
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Telephone | 832-409-5331
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Fax | 832-409-5346
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Authorized Official
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Title or Position | OFFICER
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Name | MS. JUDI E MCNEEL
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Credential |
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Telephone | 817-742-0095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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