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Provider Information for 1669654349


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PATHWRITE, INC.

Other Names:  
Doing Business As: 
PARAGON INFUSION SERVICES

Organization Subpart: NO

NPI: 1669654349
Last Updated: 2024-11-13
Certification Date: 2024-11-13

Details

NameValue
NPI1669654349
Enumeration Date2007-12-04
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: AMY MULDERRY
Title: President
Phone: 9725881000
Mailing Address 6523 TEAMWORK TRL
CORPUS CHRISTI, TX 78417-3455
United States

Phone: 361-814-8983 | Fax:361-814-8953
 
Primary Practice Address 6523 TEAMWORK TRL
CORPUS CHRISTI, TX 78417-3455
United States

Phone: 361-814-8983 | Fax:361-814-8953
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
LicensingTeam@paragonhealthcare.com
email
Direct CSV 6523 Teamwork Trl
Corpus Christi, TX 78417-3455
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 251F00000X - Home Infusion TX
No 332B00000X - Durable Medical Equipment & Medical Supplies
No 332BP3500X - Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Yes 3336H0001X - Pharmacy - Home Infusion Therapy PharmacyTX
No 3336S0011X - Pharmacy - Specialty Pharmacy