MEDICARE: COMFORT DRIPS IV THERAPY& INFUSIONS, PLLC

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
1	261QI0500X	Infusion Therapy Clinic/Center
2	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1225818552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT DRIPS IV THERAPY& INFUSIONS, PLLC

Provider Business Mailing Address
First Line	:	4582 KINGWOOD DR STE E
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-2640
Country	:	US
Telephone Number	:	346-600-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	2503 AUTUMN GARDEN CT
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-2233
Country	:	US
Telephone Number	:	346-600-3039
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	COMFORT BOSEDE SOFAYO
Credential	:	FNP
Telephone Number	:	773-964-5325

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

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