Organization
OUTPATIENT INFUSION SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAU (VP AND SECRETARY)
(415) 893-8457
Entity
Organization
Contact information
Practice address
8726 N ROYAL LN, IRVING, TX 75063-2589
(972) 506-9100
(972) 506-0300
Mailing address
800 TECHNOLOGY CENTER DR, STOUGHTON, MA 02072-4721
(972) 506-9100
(972) 506-0300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003194033A
—
GA
01
—
1001211
TEXAS DEVICE DISTRIBUTOR LICENSE
TX
Enumeration date
01/22/2014
Last updated
10/16/2018
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