Provider Demographics
NPI:1568240356
Name:HOUSTON INFUSION SERVICES, LLC
Entity Type:Organization
Organization Name:HOUSTON INFUSION SERVICES, LLC
Other - Org Name:VITAL CARE OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HEGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-560-7080
Mailing Address - Street 1:7103 S PEEK RD STE 300A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3498
Mailing Address - Country:US
Mailing Address - Phone:346-560-7080
Mailing Address - Fax:346-560-7081
Practice Address - Street 1:7103 S PEEK RD STE 300A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3498
Practice Address - Country:US
Practice Address - Phone:346-560-7080
Practice Address - Fax:346-560-7081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy