Organization
TEXAS INFUSION GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY BRAGANZA (CREDENTIALING MANAGER)
(562) 341-4786
Entity
Organization
Contact information
Practice address
910 N GALLOWAY AVE, MESQUITE, TX 75149-2409
(310) 740-7864
Mailing address
5020 RANDOLPH ST, PLANO, TX 75074-0308
(310) 740-7864
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
03/04/2020
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