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
13621 INWOOD RD, SUITE 420, DALLAS, TX 75244
(214) 866-2700
(214) 866-2750
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 993-2033
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
20558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017322101
—
TX
05
—
126140
—
LA
05
—
130719101
—
TX
05
—
130719105
—
TX
01
—
2091011
PK
—
05
—
320222
—
TX
Enumeration date
10/05/2006
Last updated
08/06/2018
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