| NPI | 1790294668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON FAUGHT Member 512-734-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: TX 31917) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 31917) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2018-03-29 |