Provider Demographics
NPI:1235981598
Name:A MILLION BROWNIES LLC
Entity Type:Organization
Organization Name:A MILLION BROWNIES LLC
Other - Org Name:IV SOLUTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-233-4071
Mailing Address - Street 1:955 PIERREMONT RD STE 400
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-2096
Mailing Address - Country:US
Mailing Address - Phone:734-233-4071
Mailing Address - Fax:
Practice Address - Street 1:955 PIERREMONT RD STE 400
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-2096
Practice Address - Country:US
Practice Address - Phone:734-233-4071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy