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Organization
MEDTEX INFUSION THERAPY LLC
Active
Organization
MEDTEX INFUSION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA PROCTOR (COO)
(817) 937-0159
Entity
Organization
Contact information
Practice address
6447 MALAGA, IRVING, TX 75039-3191
(214) 886-8496
Mailing address
1724 E BROAD ST STE 136, MANSFIELD, TX 76063-9140
(817) 453-5022
(817) 453-5027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
1835C0207X
Compounded Sterile Preparations Pharmacist
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
3336C0002X
Clinic Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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