Basic Information
| Provider Information | |||||||||
| NPI: | 1659719623 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICARE INFUSION CENTERS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2790 LAKE VISTA DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LEWISVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750673884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726612273 | ||||||||
| FaxNumber: | 8662926489 | ||||||||
| Practice Location | |||||||||
| Address1: | 2790 LAKE VISTA DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LEWISVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750673884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726612273 | ||||||||
| FaxNumber: | 8662926489 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2013 | ||||||||
| LastUpdateDate: | 06/14/2016 | ||||||||
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| AuthorizedOfficialLastName: | SWAYDEN | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | GENE | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9404358068 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | RPH | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QI0500X | Y | Ambulatory Health Care Facilities | Clinic/Center | Infusion Therapy |
No ID Information.