Organization · Type 2 NPI
South Dallas Infusion Center, PA
Infusion Therapy Clinic/Center · Desoto, TX
NPI number
1558640938
Active
Practice location
2727 Bolton Boone Dr Ste 109A
Desoto, TX 75115-2019
Fax (972) 588-1041
Mailing address
PO Box 678057
Dallas, TX 75267-8057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infectious Disease Physician | 207RI0200X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1558640938
South Dallas Infusion Center, PA's National Provider Identifier is 1558640938, issued on Aug 16, 2011. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Desoto, TX. The record was last updated on Oct 28, 2020.