| Ivy Infusion Llc | |
|
1201 Creek Way Dr Ste B Sugar Land TX 77478-4570 | |
| (832) 886-4774 | |
| Not Available |
| Full Name | Ivy Infusion Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1201 Creek Way Dr Ste B, Sugar Land, Texas |
| Authorized Official Name and Position | Lesa Nicholes (OWNER) |
| Authorized Official Contact | 2817737578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Infusion Llc Po Box 16461 Sugar Land TX 77496-6461 Ph: (832) 886-4774 | Ivy Infusion Llc 1201 Creek Way Dr Ste B Sugar Land TX 77478-4570 Ph: (832) 886-4774 |
| NPI Number | 1326578899 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326578899 | NPI | - | NPPES |
| 1972766327 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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