Provider Demographics
NPI:1326745902
Name:WEST TEXAS HOME INFUSION COMPANY LLC
Entity Type:Organization
Organization Name:WEST TEXAS HOME INFUSION COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:CMA, NCT CPPM
Authorized Official - Phone:325-676-7700
Mailing Address - Street 1:2401 N TREADAWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-1953
Mailing Address - Country:US
Mailing Address - Phone:325-676-7700
Mailing Address - Fax:325-676-7991
Practice Address - Street 1:2401 N TREADAWAY BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-1953
Practice Address - Country:US
Practice Address - Phone:325-676-7700
Practice Address - Fax:325-676-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion