# INNOVATIVE CLINICAL SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821266586
- **Authorized official:** BARRON H. CHEEK II (CEO)
- **Authorized official phone:** (210) 241-2140

## Contact information

- **Practice address:** 216 E. BLANCO RD., STE. 101, BOERNE, TX 78006
- **Practice address phone:** (830) 816-5131
- **Practice address fax:** (830) 816-5133
- **Mailing address:** P.O. BOX 1259, BOERNE, TX 78006
- **Mailing address phone:** (830) 816-5131
- **Mailing address fax:** (830) 816-5133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0100097 | TX | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0100097DME | TX | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 09/12/2011
