Organization
PARK INFUSIONCARE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEYS (CEO)
(480) 446-9010
Entity
Organization
Contact information
Practice address
13619 INWOOD RD, STE. 360, DALLAS, TX 75244
(214) 353-9090
(214) 353-9594
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 993-2033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2832511 02
—
TX
05
—
283251101
—
TX
Enumeration date
03/16/2011
Last updated
08/06/2018
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