| NPI | 1003619859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA PROCTOR COO 817-937-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 1835C0207X Pharmacist, Compounded Sterile Preparations | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| 207Q00000X Family Medicine | |
| 251F00000X Home Infusion | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |