Organization
INFUSION ASSOC OF W TEXAS LLC
Active
Other names
OPTION CARE OF W TEXAS
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY DUNLAP (OWNER)
(432) 580-4600
Entity
Organization
Contact information
Practice address
1522 N TEXAS AVE, ODESSA, TX 79761-2613
(432) 580-4600
(432) 339-0172
Mailing address
PO BOX 733, ODESSA, TX 79760-0733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
22377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098942
PK
—
Enumeration date
07/22/2006
Last updated
09/22/2016
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