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Organization
INFORMED CARE SOLUTIONS, INC.
Active
Organization
INFORMED CARE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CONSOLATO (OPERATIONS MANAGER)
(877) 800-4882
Entity
Organization
Contact information
Practice address
2608 QUEEN MARGARET DR, LEWISVILLE, TX 75056-5805
(877) 800-4882
Mailing address
801 DOUGLAS AVE, SUITE 104, ALTAMONTE SPRINGS, FL 32714-5206
(877) 800-4882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
750872
TX
363LF0000X
Family Nurse Practitioner
Primary
0001154175
TX
363LF0000X
Family Nurse Practitioner
582114
TX
363LF0000X
Family Nurse Practitioner
774901
TX
363LW0102X
Women's Health Nurse Practitioner
226308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053NL
BLUE CROSS BLUE SHIELD
TX
05
—
180957601
—
TX
01
—
DF4458
RR MEDICARE
—
Enumeration date
04/28/2008
Last updated
05/22/2008
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