Organization
EASTEX INFUSION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME AMADO RN (OWNER)
(832) 338-6850
Entity
Organization
Contact information
Practice address
27415 GRAYSON GAP CT, FULSHEAR, TX 77441-2087
(281) 229-1531
(281) 946-8710
Mailing address
27415 GRAYSON GAP CT, FULSHEAR, TX 77441-2087
(832) 451-6713
(281) 396-4705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
018872
TX
251F00000X
Home Infusion Agency
018872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018872
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
TX
Enumeration date
06/25/2018
Last updated
11/11/2022
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