Provider Demographics
NPI:1649744871
Name:MEDIFUSE
Entity Type:Organization
Organization Name:MEDIFUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
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 1:2203 TIMBERLOCH PL STE 132
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1105
Mailing Address - Country:US
Mailing Address - Phone:832-813-8280
Mailing Address - Fax:800-500-2344
Practice Address - Street 1:1235 CLEAR LAKE CITY BLVD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8125
Practice Address - Country:US
Practice Address - Phone:281-305-0983
Practice Address - Fax:888-883-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy