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NPI Code Detail

MEDICARE: PARAGON HEMOPHILIA SOLUTIONS LLC

MEDICARE: PARAGON HEMOPHILIA SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336H0001XHome Infusion Therapy Pharmacy25453TX
23336S0011XSpecialty Pharmacy25453TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2PH0618OTHERTXMEDICARE LOCAL CARRIER - TRAILBLAZER HEALTH SERVICES

Other Identifiers

General Provider Information

NPI Number : 1114058534
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARAGON HEMOPHILIA SOLUTIONS LLC
Provider Business Mailing Address
First Line : 3033 W PRESIDENT GEORGE BUSH HWY STE 100-B
Second Line :
City : PLANO
State : TX
Zip : 75075-5752
Country : US
Telephone Number : 972-588-1000
Fax Number : 866-388-1488
Provider Business Practice Location Address
First Line : 3033 W PRESIDENT GEORGE BUSH HWY STE 100B
Second Line :
City : PLANO
State : TX
Zip : 75075-5752
Country : US
Telephone Number : 888-588-1072
Fax Number : 866-388-1488
Authorized Official
Title or Position : PRESIDENT
Name : AMY MULDERRY
Credential :
Telephone Number : 972-588-1000
Provider Enumeration Date : 03/08/2007
Last Update Date : 11/12/2024

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Directions to “PARAGON HEMOPHILIA SOLUTIONS LLC ” Practice Location

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