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Organization
DRIP IV SOLUTIONS PLLC
Active
Organization
DRIP IV SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY THADDEUS CLAVO MD (MEDICAL DIRECTOR)
(404) 354-0153
Entity
Organization
Contact information
Practice address
6101 W PLANO PKWY STE 200, PLANO, TX 75093-8373
(404) 354-0153
Mailing address
4145 BELT LINE RD STE 212-237, ADDISON, TX 75001-4324
(404) 354-0153
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
NULL
164X00000X
Licensed Vocational Nurse
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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