Provider Demographics
NPI:1619318631
Name:PATHWRITE INC.
Entity Type:Organization
Organization Name:PATHWRITE INC.
Other - Org Name:PARAGON INFUSION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-588-1050
Mailing Address - Street 1:PO BOX 796548
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-6548
Mailing Address - Country:US
Mailing Address - Phone:972-588-1000
Mailing Address - Fax:972-588-1041
Practice Address - Street 1:6405 NORTH IH-35
Practice Address - Street 2:SUITE 2900
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-4311
Practice Address - Country:US
Practice Address - Phone:512-823-2000
Practice Address - Fax:866-491-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies