Organization
CENTRAL LINE INFUSION DALLAS DIVISION LTD
Active
Parent organization
AMERITA, INC.
Other names
Amerita
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERITA, INC.
Authorized official
RICHARD GENTLEMAN (SENIOR VICE PRESIDENT)
(720) 710-4680
Entity
Organization
Contact information
Practice address
8080 TRISTAR DRIVE, SUITE 120, IRVING, TX 75063-2823
(972) 815-0460
(972) 915-3841
Mailing address
PO BOX 223017, PITTSBURGH, PA 15251-2017
(800) 477-7375
(877) 676-0493
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23275
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
23275
TX
3336H0001X
Home Infusion Therapy Pharmacy
Primary
23275
TX
335G00000X
Medical Foods Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285678490
—
TX
01
—
23275
BOARD OF PHARMACY
TX
01
—
4531352
NCPDP
TX
Enumeration date
06/16/2006
Last updated
07/28/2026
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