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General NPI Number Information
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NPI Number | 1588511653
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Entity Type | Organization
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Legal Business Name | MEDFUSE TEXAS PLLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 8720 ALAMEDA AVE STE B
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City | EL PASO
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State | TX
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Zip | 79907-6275
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Country | US
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Telephone | 346-738-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 8720 ALAMEDA AVE STE B
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City | EL PASO
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State | TX
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Zip | 79907-6275
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Country | US
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Telephone | 346-738-9600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW DANIEL DUBE
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Credential |
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Telephone | 773-383-2042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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