NPI 1215501242
Infusion Services & Specialty Pharmacy
Practice location
- Address
- 1724 E Broad St STE 136, Mansfield, TX 76063-9140
- Phone
- (817) 453-5022
- Fax
- (817) 453-5027
Authorised official
- Name
- Marsha Proctor
- Title
- Cco
- Phone
- (817) 370-1599
Registered specialties
Home Infusion Agency
Primary
Registry record
- NPI
- 1215501242
- Entity type
- Organization
- NPI issued
- 14 May 2021
- Record last updated
- 14 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.