STATE PHARMACY & INFUSION CENTER, LLC (NPI# 1275884033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275884033 |
| Entity Type | Organization |
| Organization Name | STATE PHARMACY & INFUSION CENTER, LLC |
| Practice Address |
13111 Westheimer Rd Suite #212 Houston TX 77077-5546 |
| Practice Telephone | 8322303804 |
| Practice Fax Number | 8322303839 |
| Mailing Telephone | 8322303804 |
| Mailing Fax Number | 8322303839 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | ROBERT W BOARER (MEMBER) |
| Authorized Official Telephone | 2815092639 |
| 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 |
| Street Address |
13111 WESTHEIMER RD SUITE #212 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376481 | Paul David Levine | Dentist | 13111 Westheimer Rd, Ste 250, Houston, TX 77077-5520 | 2005-06-17 |
| 1063867786 | World Health Services Inc. | Home Health | 13111 Westheimer Rd, Suite 120, Houston, TX 77077-5546 | 2016-05-01 |
| 1255684395 | State Diagnostic Clinic, LLC | General Practice | 13111 Westheimer Rd, Suite #212, Houston, TX 77077-5546 | 2012-10-25 |
| 1649521402 | West Oak Health Clinic, LLC | General Practice | 13111 Westheimer Rd, Suite #212, Houston, TX 77077-5546 | 2012-09-19 |
| 1396026837 | West Houston Clinic Pllc | Family Medicine | 13111 Westheimer Rd, Suite 215, Houston, TX 77077-5546 | 2011-08-29 |
| 1003194523 | Nu Doctors Pllc | General Practice | 13111 Westheimer Rd, Suite 212, Houston, TX 77077-5546 | 2011-08-01 |
| 1962646406 | County Healthcare Incorporated | Home Health | 13111 Westheimer Rd, Suite 121, Houston, TX 77077-5546 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578108254 | Carissa Arielle Ainsworth | Clinic/Center | 7700 Main St Ste 210, Houston, TX 77030-4457 | 2019-11-17 |
| 1871060251 | Diabetes Relief Houston Southwest LLC | Clinic/Center | 8200 Wednesbury Ln Ste 390, Houston, TX 77074-2999 | 2018-10-24 |
| 1316412109 | Ais Bs LLC | Clinic/Center | 6671 Southwest Fwy Ste 300m, Houston, TX 77074-2212 | 2018-10-08 |
| 1700375466 | Medcare Texas, LLC | Clinic/Center | 6655 Travis St Ste 850, Houston, TX 77030-1317 | 2018-05-08 |
| 1912417585 | Diabetes Complications Resolution Center, LLC | Clinic/Center | 1900 North Loop W Ste 370, Houston, TX 77018-8136 | 2017-10-09 |
| 1487175972 | Primesource Infusion Management, LLC | Clinic/Center | 2656 S Loop W Ste 574-a, Houston, TX 77054-2664 | 2017-07-05 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1407394844 | Ruan Medical Group | Clinic/Center | 5252 Hollister St, Ste 201, Houston, TX 77040-6214 | 2017-02-06 |
| 1235529975 | Diabetes Relief LLC | Clinic/Center | 11511 Katy Fwy Ste 100, Houston, TX 77079-1902 | 2015-02-03 |
| 1578998282 | Willowbrook Infusion Center, Pa | Clinic/Center | 18220 State Highway 249 Ste 230, Houston, TX 77070-4350 | 2013-09-12 |
| Find all providers in HOUSTON | ||||
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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.