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Ivitamin Services

Clinic/Center, Infusion Therapy in Austin, TX. Organization (NPI-2).

NPI number1750171716
StatusActive
Last updated in NPPESMay 12, 2025

Details

NPI
1750171716
Entity type
Organization (NPI-2)
Legal business name
Ivitamin Services
Organization subpart
No
Enumeration date
May 12, 2025
Certification date
May 12, 2025
Last updated
May 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QI0500X Clinic/Center, Infusion Therapy––Yes

Practice location

515 S Congress Ave Ste 104
Austin, TX 78704-1776

Phone 512-275-6448

Mailing address

515 S Congress Ave Ste 104
Austin, TX 78704-1776

Phone 512-275-6448

Authorized official

Courtney Jackson
Nurse Practitioner
5122756448

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