Organization
DE HEALTH LINE LLC
Active
Other names
Cego Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA O EGBUCHUNAM PHARMD, RPH (COO)
(713) 541-6000
Entity
Organization
Contact information
Practice address
11711 W BELLFORT ST, STAFFORD, TX 77477-1335
(713) 541-6000
(713) 541-6001
Mailing address
PO BOX 571854, HOUSTON, TX 77257-1854
(713) 541-6000
(713) 541-6001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
26601
TX
3336S0011X
Specialty Pharmacy
26601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TPI-352923201
—
TX
Enumeration date
10/08/2009
Last updated
09/14/2023
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