| Organization Name: | COVENANT INFUSION CENTER,INC. |
| NPI Number: | 1033498126 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAILESH MESURIA (OFFICE MANAGER) |
| Mailing Address: | 2406 Brock St Suite 10 Mission |
| State: | TX US |
| Postal Code: | 785723374 |
| Phone Number: | 9565852800 |
| Fax Number: | 9565852802 |
| NPI Enumeration Date: | 08/08/2011 |
| NPI Last Update Date: | 05/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QI0500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |