Provider Demographics
NPI:1518033604
Name:INFUCARE, LTD
Entity Type:Organization
Organization Name:INFUCARE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT, LLC MANAGER OF G.P.
Authorized Official - Prefix:
Authorized Official - First Name:KATHEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-385-7322
Mailing Address - Street 1:1321 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-2263
Mailing Address - Country:US
Mailing Address - Phone:903-526-3400
Mailing Address - Fax:903-526-0013
Practice Address - Street 1:1321 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2263
Practice Address - Country:US
Practice Address - Phone:903-526-3400
Practice Address - Fax:903-526-0013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOMATRIX SPECIALTY PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-28
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19818251F00000X, 332B00000X, 332BP3500X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4511223OtherNABP NUMBER
TX750759OtherBCBS OF TEXAS
TX017284301Medicaid
TX111402701Medicaid
TX111402706Medicaid
TX1402701Medicaid
TX111402703Medicaid
TX149067Medicaid