MEDICARE: HQ INFUSION CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WI0500X	Infusion Therapy Registered Nurse
2	207R00000X	Internal Medicine Physician
3	261QI0500X	Infusion Therapy Clinic/Center
4	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1528637170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HQ INFUSION CENTER LLC

Provider Business Mailing Address
First Line	:	1311 W SAM HOUSTON PKWY N STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2052
Country	:	US
Telephone Number	:	832-612-3513
Fax Number	:	832-500-8629

Provider Business Practice Location Address
First Line	:	1311 W SAM HOUSTON PKWY N STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2052
Country	:	US
Telephone Number	:	832-612-3513
Fax Number	:	832-500-8629

Authorized Official
Title or Position	:	COO
Name	:	SHAUKAT ZAKARIA
Credential	:
Telephone Number	:	832-612-3513

Provider Enumeration Date	:	06/18/2021
Last Update Date	:	01/14/2022

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Directions to “HQ INFUSION CENTER LLC ” Practice Location

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