Provider Demographics
NPI:1083097620
Name:ADVANCED INFUSIONS, PA
Entity Type:Organization
Organization Name:ADVANCED INFUSIONS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-570-1835
Mailing Address - Street 1:11233 SHADOW CREEK PARKWAY
Mailing Address - Street 2:SUITE 123
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7345
Mailing Address - Country:US
Mailing Address - Phone:713-570-1860
Mailing Address - Fax:713-583-1355
Practice Address - Street 1:11233 SHADOW CREEK PARKWAY
Practice Address - Street 2:SUITE 123
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7345
Practice Address - Country:US
Practice Address - Phone:713-570-1860
Practice Address - Fax:713-583-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty