Provider Demographics
NPI:1407410293
Name:IV RX HEALTHCARE, LLC
Entity type:Organization
Organization Name:IV RX HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-296-7967
Mailing Address - Street 1:14019 SOUTHWEST FWY STE 201
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3551
Mailing Address - Country:US
Mailing Address - Phone:832-296-7967
Mailing Address - Fax:832-442-5927
Practice Address - Street 1:14019 SOUTHWEST FWY STE 201
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3551
Practice Address - Country:US
Practice Address - Phone:832-296-7967
Practice Address - Fax:832-442-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty