# DRIP IV SOLUTIONS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275350910
- **Authorized official:** DR. ANTHONY THADDEUS CLAVO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (404) 354-0153

## Contact information

- **Practice address:** 6101 W PLANO PKWY STE 200, PLANO, TX 75093-8373
- **Practice address phone:** (404) 354-0153
- **Mailing address:** 4145 BELT LINE RD STE 212-237, ADDISON, TX 75001-4324
- **Mailing address phone:** (404) 354-0153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 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