Park Infusioncare, LP

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PARK INFUSIONCARE, LP

Practice address

3695 Stagg Dr
Beaumont, TX 77701

Phone

(409) 833-7777

Fax

(409) 833-1699

NPI assigned

May 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Keys

Title

Ceo

Phone

(480) 446-9010

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1053670398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "480-882-0535",
            "fax_number": "480-240-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-833-7777",
            "fax_number": "409-833-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK INFUSIONCARE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308195201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308195202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Palang, MD
• Pam Squared at Beaumont, LLC
• Pamela E. Monk, PH.D., P.L.L.C.
• Harikrishnareddy Pandi
• Maria Theresa Parcon, PT
• Alkisha Diane Parker, LPC
• Courtney Parker, LVN
• Jaclyn Crisler Parker, LMT, CLT, CDT
• Kristi Ladonna Parker, M.S. - SLP
• Laurence Oliver Parker

• Oxygen Equipment & Supplies (DME) in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.