Organization
SOUTH DALLAS INFUSION
Active
Other names
Vital Care of South Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI A. KUBOSH-SCHWARTZ (OWNER/PIC)
(945) 212-3707
Entity
Organization
Contact information
Practice address
950 E BELT LINE RD STE 110, CEDAR HILL, TX 75104-2423
(945) 212-3707
(945) 212-3708
Mailing address
950 E BELT LINE RD STE 110, CEDAR HILL, TX 75104-2423
(945) 212-3707
(945) 212-3708
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
10/13/2022
Last updated
05/02/2023
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