Organization
TEXAS CHILDREN'S HOSPITAL
Active
Parent organization
TEXAS CHILDREN'S HOSPITAL
Other names
Texas Children's Infusion Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS CHILDREN'S HOSPITAL
Authorized official
WELDON GAGE (CFO)
(832) 828-3660
Entity
Organization
Contact information
Practice address
12613 CITYPARK DR, STE 200, RM 145.06, MISSOURI CITY, TX 77489-1244
(832) 824-1000
(832) 825-9418
Mailing address
12613 CITYPARK DR, STE 200, RM 145.06, MISSOURI CITY, TX 77489-1244
(346) 232-4960
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35785
TEXAS BOARD OF PHARMACY
TX
Enumeration date
05/16/2024
Last updated
10/10/2025
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