Provider Demographics
NPI:1881912780
Name:TOTAL INFUSION MANAGEMENT
Entity type:Organization
Organization Name:TOTAL INFUSION MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-269-6663
Mailing Address - Street 1:PO BOX 540051
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77254-0051
Mailing Address - Country:US
Mailing Address - Phone:281-340-8100
Mailing Address - Fax:281-340-8123
Practice Address - Street 1:1514 PECAN TRACE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6224
Practice Address - Country:US
Practice Address - Phone:281-340-8100
Practice Address - Fax:281-340-8123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty