Organization
CLINICAL SPECIALTY INFUSIONS OF DALLAS, LLC
Active
Parent organization
CLINICAL SPECIALTY INFUSIONS OF DALLAS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL SPECIALTY INFUSIONS OF DALLAS LLC
Authorized official
MARITZA MORA (DIRECTOR OF LEGAL AND COMPLIANCE)
(430) 213-1563
Entity
Organization
Contact information
Practice address
5429 E BEAUMONT CENTER BLVD STE 820, TAMPA, FL 33634-5248
(833) 569-1005
Mailing address
5340 LEGACY DR STE 115, PLANO, TX 75024-3393
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/20/2024
Last updated
12/02/2024
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