Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Infusion Therapy |
163WI0500X |
| NPI Number | 1639439516 |
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| LBN Legal business name | IVRX OUTPATIENT THERAPY SERVICES ENTERPRISES INC | ||||
| Authorized official | MIRANDA CULLINS - (REGISTERED NURSE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/24/2012 | ||||
| Last updated | 05/24/2012 - About 14 years ago | ||||
| Identifiers |
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