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
8666 HUEBNER RD, SUITE 208, SAN ANTONIO, TX 78240
(210) 697-3800
(210) 697-3801
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 446-7695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130719102
—
TX
05
—
130719107
—
TX
05
—
130719109
—
TX
Enumeration date
12/04/2008
Last updated
08/06/2018
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