Primesource Infusion Management, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

PRIMESOURCE INFUSION MANAGEMENT, LLC

Practice address

2656 S Loop W Ste 574-a
Houston, TX 77054-2664

Phone

(832) 404-2881

Fax

(281) 783-2265

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Quan Tran

Title

Director

Phone

(832) 800-2320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1487175972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 574-A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542664",
            "telephone_number": "832-404-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 574-A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542664",
            "telephone_number": "832-404-2881",
            "fax_number": "281-783-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMESOURCE INFUSION MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "QUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-800-2320"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primepath Medical Supplies LLC
• Primer Family Clinic
• Primerose Home Health Services Inc
• Primescope Diagnostics, LLC
• Primeserve Medimove
• Primesource RX LLC
• Primetime Healthcare, Inc
• Primetime Home Health Services, Inc
• Primetime Medical Transportation LLC
• Primevital Equip LLC

• Infusion Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.