Provider Demographics
NPI:1295512259
Name:SOUTHWEST INFUSION EXPERTS PLLC
Entity type:Organization
Organization Name:SOUTHWEST INFUSION EXPERTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-235-3792
Mailing Address - Street 1:3025 BOB BEAMON ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-3190
Mailing Address - Country:US
Mailing Address - Phone:915-256-8675
Mailing Address - Fax:915-235-3792
Practice Address - Street 1:3025 BOB BEAMON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-3190
Practice Address - Country:US
Practice Address - Phone:915-256-8675
Practice Address - Fax:915-235-3792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty