PRIMESOURCE INFUSION MANAGEMENT, LLC (NPI# 1487175972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487175972 |
| Entity Type | Organization |
| Organization Name | PRIMESOURCE INFUSION MANAGEMENT, LLC |
| Practice Address |
2656 S Loop W Ste 574-a Houston TX 77054-2664 |
| Practice Telephone | 8324042881 |
| Practice Fax Number | 2817832265 |
| Mailing Telephone | 8324042881 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | QUAN TRAN (DIRECTOR) |
| Authorized Official Telephone | 8328002320 |
| 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 |
2656 S LOOP W STE 574-A |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| 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 |
| 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 |
| 1063571487 | Applied Infusion Management Services | Clinic/Center | 6105 Beverly Hill, Ste 201, Houston, TX 77057 | 2006-12-08 |
| 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.