Organization
ADVANTAGE INFUSION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D GLYNN (PRESIDENT)
(949) 273-6528
Entity
Organization
Contact information
Practice address
6019 RANDOLPH BLVD, SAN ANTONIO, TX 78233-5719
(210) 599-7276
(210) 599-8621
Mailing address
8080 TRISTAR DRIVE, SUITE 120, IRVING, TX 75063-2823
(972) 815-0461
(877) 302-5251
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
16174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145435-01
—
TX
05
—
0788788-01
—
TX
05
—
0946816-01
—
TX
05
—
0946816-02
—
TX
Enumeration date
12/12/2006
Last updated
06/21/2013
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