OrganizationActive
Evolution IV, LLC
NPI 1083200075 · Infusion Therapy Clinic/Center · San Antonio, TX
Provider details
- NPI number
- 1083200075
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lautaro Sanfilippo, Ceo(347) 306-0338
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
14615 San Pedro Ave Ste 105
San Antonio, TX 78232-4364
Phone: (914) 906-4004
Approximate (ZIP-level) locationGet directions
Mailing address
14615 San Pedro Ave Ste 105
San Antonio, TX 78232-4364
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.