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Organization

SOS INFUSION LLC

Active
Other names
SUMMIT ON-SITE SOLUTIONS LLC SOLE
Organization subpart
No

Provider details

NPI number
Authorized official
MARK ELLIOTT (MANAGER)
(123) 456-7890
Entity
Organization

Contact information

Practice address
1514 PECAN TRACE CT, SUGAR LAND, TX 77479-6224
(123) 456-7890
Mailing address
1514 PECAN TRACE CT, SUGAR LAND, TX 77479-6224

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary

Other

Enumeration date
08/30/2011
Last updated
06/25/2013
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