Provider Demographics
NPI:1689320269
Name:TEXAS INFUSION, LLC
Entity Type:Organization
Organization Name:TEXAS INFUSION, LLC
Other - Org Name:TEXAS INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-372-9787
Mailing Address - Street 1:1935 W STATE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-6725
Mailing Address - Country:US
Mailing Address - Phone:972-372-9787
Mailing Address - Fax:
Practice Address - Street 1:1935 W STATE ST STE 103
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6725
Practice Address - Country:US
Practice Address - Phone:972-372-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies