Provider Demographics
NPI:1386123461
Name:PHYSICIANS CHOICE INFUSION CLINIC PLLC
Entity type:Organization
Organization Name:PHYSICIANS CHOICE INFUSION CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBINSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZACHARIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-566-7373
Mailing Address - Street 1:2700 TIBBETS DR # 301-1
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5928
Mailing Address - Country:US
Mailing Address - Phone:817-770-0079
Mailing Address - Fax:
Practice Address - Street 1:2700 TIBBETS DR # 301-1
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5928
Practice Address - Country:US
Practice Address - Phone:817-770-0079
Practice Address - Fax:817-203-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty