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
4007 BELLAIRE BLVD, STE G, HOUSTON, TX 77025
(713) 668-7275
(866) 925-5620
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 993-2033
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
21055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1246107
—
LA
05
—
155981701
—
TX
05
—
155981702
—
TX
05
—
155981703
—
TX
01
—
2098189
PK
—
05
—
320243
—
TX
Enumeration date
08/11/2006
Last updated
08/06/2018
Update your record
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