PROG RX, LLC (NPI# 1063922664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063922664 |
| Entity Type | Organization |
| Organization Name | PROG RX, LLC |
| Other Organization Name | PROG RX, LLC |
| Practice Address |
813 N O Connor Rd Irving TX 75061-4510 |
| Practice Telephone | 8558909589 |
| Mailing Telephone | 8558909589 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | AZMAT SHAH (MANAGER) |
| Authorized Official Telephone | 8303667240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PROG RX, LLC | Doing Business As Name - Organization |
| Street Address |
813 N O CONNOR RD |
| City | IRVING |
| State | TX |
| Zip Code | 75061-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386023620 | Gibson Diagnostic Labs, LLC | Clinical Medical Laboratory | 813 N O Connor Rd, Irving, TX 75061-4510 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
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| 1194368605 | Advanced Infusion Services, LLC | Clinic/Center | 1901 Medi Park Dr Ste 1057, Amarillo, TX 79106-2168 | 2019-10-28 |
| 1487217766 | Pro Med Infusion LLC | Clinic/Center | 13134 Dairy Ashford Rd Ste 900b, Sugar Land, TX 77478-3756 | 2019-04-22 |
| 1871060251 | Diabetes Relief Houston Southwest LLC | Clinic/Center | 8200 Wednesbury Ln Ste 390, Houston, TX 77074-2999 | 2018-10-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.