Provider Demographics
NPI:1396482592
Name:HEALIX INFUSION THERAPY LLC
Entity type:Organization
Organization Name:HEALIX INFUSION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND DEPUTY GENERAL C
Authorized Official - Prefix:
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-295-4228
Mailing Address - Street 1:14140 SOUTHWEST FWY STE 400
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3842
Mailing Address - Country:US
Mailing Address - Phone:281-295-4000
Mailing Address - Fax:
Practice Address - Street 1:14140 SOUTHWEST FWY STE 400
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3842
Practice Address - Country:US
Practice Address - Phone:281-295-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALIX INFUSION THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty