Provider Demographics
NPI:1457237315
Name:SPECIALTY INFUSIONS TX INC
Entity type:Organization
Organization Name:SPECIALTY INFUSIONS TX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:346-350-2000
Mailing Address - Street 1:4807 SUGAR GROVE BLVD STE 702
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2652
Mailing Address - Country:US
Mailing Address - Phone:346-350-2000
Mailing Address - Fax:346-350-6100
Practice Address - Street 1:4807 SUGAR GROVE BLVD STE 702
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2652
Practice Address - Country:US
Practice Address - Phone:346-350-2000
Practice Address - Fax:346-350-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35819OtherTX STATE BOARD OF PHARMACY LICENSE