Provider Demographics
NPI:1225418106
Name:TEXAS MEDICATION MANAGEMENT CONSULTANTS
Entity Type:Organization
Organization Name:TEXAS MEDICATION MANAGEMENT CONSULTANTS
Other - Org Name:PARAGON HEALTHCARE SPECIALTY #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FINAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-588-1072
Mailing Address - Street 1:3033 W PRESIDENT GEORGE BUSH HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-5752
Mailing Address - Country:US
Mailing Address - Phone:888-866-1072
Mailing Address - Fax:866-388-1488
Practice Address - Street 1:3033 W PRESIDENT GEORGE BUSH HWY STE 100C
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5752
Practice Address - Country:US
Practice Address - Phone:888-588-1072
Practice Address - Fax:972-370-3560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X, 333600000X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5916094OtherNCPDP
TX30066OtherTEXAS PHARMACY LICENSE
R0219654OtherDPS
R0219654OtherDPS