MEDICARE: PARAGON INFUSION CARE, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies		TX

General Provider Information

NPI Number	:	1740621283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAGON INFUSION CARE, INC.

Provider Business Mailing Address
First Line	:	1922 DRY CREEK WAY STE 110
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-1840
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1922 DRY CREEK WAY STE 110
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-1840
Country	:	US
Telephone Number	:	866-972-5888
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AMY MULDERRY
Credential	:
Telephone Number	:	972-588-1000

Provider Enumeration Date	:	07/12/2013
Last Update Date	:	11/12/2024

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