Infusion Assoc of W Texas LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

22377 Issued in TX

Legal business name

INFUSION ASSOC OF W TEXAS LLC

Doing business as

Option Care of W Texas

Practice address

1522 N Texas Ave
Odessa, TX 79761-2613

Phone

(432) 580-4600

Fax

(432) 339-0172

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Garry Dunlap

Title

Owner

Phone

(432) 580-4600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OPTION CARE OF W TEXAS Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1669493631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797600733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 N TEXAS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612613",
            "telephone_number": "432-580-4600",
            "fax_number": "432-339-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION ASSOC OF W TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-580-4600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "22377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098942",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTION CARE OF W TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Odessa, TX
• Providers in Odessa, TX by specialty
• Home Infusion Therapy Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.