Provider Demographics
NPI:1821886003
Name:INTEGRITY INFUSION CENTER PLLC
Entity type:Organization
Organization Name:INTEGRITY INFUSION CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-952-7248
Mailing Address - Street 1:4402 VANCE JACKSON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5354
Mailing Address - Country:US
Mailing Address - Phone:210-962-5557
Mailing Address - Fax:210-962-5558
Practice Address - Street 1:4402 VANCE JACKSON RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5354
Practice Address - Country:US
Practice Address - Phone:210-962-5557
Practice Address - Fax:210-962-5558
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNAPTOVEDA PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-28
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy