MEDICARE: TEXAS IV THERAPY SERVICES, 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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1861335697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS IV THERAPY SERVICES, PLLC

Provider Business Mailing Address
First Line	:	15500 VOSS RD STE 250
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-3504
Country	:	US
Telephone Number	:	224-390-0191
Fax Number	:

Provider Business Practice Location Address
First Line	:	15500 VOSS RD STE 250
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-3504
Country	:	US
Telephone Number	:	224-390-0191
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF INVENTORY
Name	:	ELIYAHU YITZHAK CARUTHERS
Credential	:
Telephone Number	:	224-390-0191

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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