Provider Demographics
NPI:1982926838
Name:SOUTH TEXAS INFUSION CENTER
Entity type:Organization
Organization Name:SOUTH TEXAS INFUSION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-821-0464
Mailing Address - Street 1:1601 JONQUIL AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3828
Mailing Address - Country:US
Mailing Address - Phone:956-821-0464
Mailing Address - Fax:956-682-8730
Practice Address - Street 1:4705 S SUGAR RD
Practice Address - Street 2:SUITE B
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3564
Practice Address - Country:US
Practice Address - Phone:956-821-0464
Practice Address - Fax:956-682-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy