MEDICARE: HEALTH RESTORATION PARTNERS 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
1	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1568708089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH RESTORATION PARTNERS LLC

Provider Business Mailing Address
First Line	:	1825 UPLAND DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-3003
Country	:	US
Telephone Number	:	713-595-9595
Fax Number	:	832-598-2429

Provider Business Practice Location Address
First Line	:	11511 KATY FWY STE 510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-1903
Country	:	US
Telephone Number	:	713-595-9595
Fax Number	:	832-598-2429

Authorized Official
Title or Position	:	CEO
Name	:	TIMOTHY G DIXON
Credential	:
Telephone Number	:	713-298-0028

Provider Enumeration Date	:	01/03/2013
Last Update Date	:	04/19/2013

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