NPI: 1245264175 · LA MESA, CA 91942 · Compounding Pharmacy · NPI assigned 07/10/2006
| Authorized Official | PATEL, KETAN (CFO) |
| NPI Enumeration Date | 07/10/2006 |
Other providers sharing the same authorized official: PATEL, KETAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| PREMIER INTERNISTS OF NORTH TEXAS, PLLC | CARROLLTON | TX | $581K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90662 | 13 | 13 | $0.00 |