Provider Demographics
NPI:1336399591
Name:HEALIX INFUSION THERAPY LLC
Entity Type:Organization
Organization Name:HEALIX INFUSION THERAPY LLC
Other - Org Name:HEALIX INFUSION THERAPY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-295-4000
Mailing Address - Street 1:1330 INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2572
Mailing Address - Country:US
Mailing Address - Phone:281-295-4343
Mailing Address - Fax:281-295-4048
Practice Address - Street 1:1330 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-295-4343
Practice Address - Fax:281-295-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206683336C0003X
3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2119642OtherPK
4551912OtherNCPDP PROVIDER IDENTIFICATION NUMBER