Organization Active NPI

Freedom 7419 LLC

  • Infusion Therapy Clinic/Center
  • Odessa, TX
National Provider Identifier
1073200473
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
FREEDOM 7419 LLC
Practice address
4803 Plaza Blvd BLDG 1
Odessa, TX 79762-4913
Phone
(432) 312-1056
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Melonye Adkins Huber, RN
Title
Part Owner
Phone
(432) 994-3098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU Primary

Addresses

Primary practice location

4803 Plaza Blvd BLDG 1
Odessa, TX 79762-4913

Mailing address

6623 Patriot Pkwy
Midland, TX 79706-3150
Phone (432) 312-1056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1073200473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 PATRIOT PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063150",
            "telephone_number": "432-312-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 PLAZA BLVD BLDG 1",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624913",
            "telephone_number": "432-312-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM 7419 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "MELONYE",
        "authorized_official_middle_name": "ADKINS",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "432-994-3098",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.