Provider Demographics
NPI:1881780344
Name:I V SPECIALTY LTD
Entity type:Organization
Organization Name:I V SPECIALTY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-459-8777
Mailing Address - Street 1:3200 STECK AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757
Mailing Address - Country:US
Mailing Address - Phone:512-459-8777
Mailing Address - Fax:512-454-7568
Practice Address - Street 1:3200 STECK AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-8000
Practice Address - Country:US
Practice Address - Phone:512-459-8777
Practice Address - Fax:512-454-7568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20652251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145394Medicaid
TX068749302Medicaid
TX165015201Medicaid
TX068749302Medicaid