Provider Demographics
NPI:1477007466
Name:1488 INFUSION CENTER
Entity Type:Organization
Organization Name:1488 INFUSION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-679-4487
Mailing Address - Street 1:PO BOX 132285
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-2285
Mailing Address - Country:US
Mailing Address - Phone:832-813-8280
Mailing Address - Fax:800-500-2344
Practice Address - Street 1:114 VISION PARK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3008
Practice Address - Country:US
Practice Address - Phone:832-813-8932
Practice Address - Fax:888-883-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy