Organization
INFORMED CARE SOLUTIONS, INC
Active
Other names
Informed Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA THOMAS (VP CLINICAL SERVICES)
(434) 823-4222
Entity
Organization
Contact information
Practice address
1710 E SAUNDERS ST, AUITE 690, LAREDO, TX 78041-5443
(877) 794-8856
Mailing address
PO BOX 6250, CHARLOTTESVILLE, VA 22906-6250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H0301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053NL
BCBS GROUP NUMBER
TX
Enumeration date
05/04/2007
Last updated
08/22/2020
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