Provider Demographics
NPI:1518299015
Name:SUMMIT ON-SITE SOLUTIONS
Entity Type:Organization
Organization Name:SUMMIT ON-SITE SOLUTIONS
Other - Org Name:ALTUS INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-436-1400
Mailing Address - Street 1:PO BOX 670248
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-0248
Mailing Address - Country:US
Mailing Address - Phone:713-436-1400
Mailing Address - Fax:713-436-1491
Practice Address - Street 1:11233 SHADOW CREEK PKWY
Practice Address - Street 2:SUITE 303
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7345
Practice Address - Country:US
Practice Address - Phone:713-436-1400
Practice Address - Fax:713-436-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty