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NPI Code Detail

MEDICARE: INFUSIONMED USA FARMERS BRANCH PLLC

MEDICARE: INFUSIONMED USA FARMERS BRANCH 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
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1275209116
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFUSIONMED USA FARMERS BRANCH PLLC
Provider Business Mailing Address
First Line : 3755 N JOSEY LN # 118790
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-2480
Country : US
Telephone Number : 214-542-5264
Fax Number :
Provider Business Practice Location Address
First Line : 13988 DIPLOMAT DR STE 100
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-8831
Country : US
Telephone Number : 214-542-5264
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : SURESH CHAVDA
Credential : MD
Telephone Number : 214-542-5264
Provider Enumeration Date : 08/20/2021
Last Update Date : 08/20/2021

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Directions to “INFUSIONMED USA FARMERS BRANCH PLLC ” Practice Location

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