# IVY INFUSION LLC

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

## Provider details

- **NPI number:** 1326578899
- **Authorized official:** LESA NICHOLES (OWNER)
- **Authorized official phone:** (281) 773-7578

## Contact information

- **Practice address:** 1201 CREEK WAY DR STE B, SUGAR LAND, TX 77478-4570
- **Practice address phone:** (832) 886-4774
- **Mailing address:** PO BOX 16461, SUGAR LAND, TX 77496-6461
- **Mailing address phone:** (832) 886-4774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 07/21/2022