| Adaptiv Infusion | |
|
2811 Imperia Drive Suite 100 Sugar Land TX 77479 | |
| (832) 895-5000 | |
| (832) 895-4040 |
| Full Name | Adaptiv Infusion |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2811 Imperia Drive, Sugar Land, Texas |
| Authorized Official Name and Position | Shareef Defrawi (CHIEF EXECUTIVE OFFICER-CEO) |
| Authorized Official Contact | 8328955000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adaptiv Infusion 2811 Imperia Drive Suite 100 Sugar Land TX 77479 Ph: (832) 895-5000 | Adaptiv Infusion 2811 Imperia Drive Suite 100 Sugar Land TX 77479 Ph: (832) 895-5000 |
| NPI Number | 1871232934 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871232934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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