Organization
PRIMESOURCE INFUSION MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUAN TRAN (DIRECTOR)
(832) 800-2320
Entity
Organization
Contact information
Practice address
2656 S LOOP W STE 574-A, HOUSTON, TX 77054-2664
(832) 404-2881
(281) 783-2265
Mailing address
2656 S LOOP W STE 574-A, HOUSTON, TX 77054-2664
(832) 404-2881
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
01/16/2019
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