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Organization

INNOVATIVE CLINICAL SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRON H. CHEEK II (CEO)
(210) 241-2140
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0100097
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0100097DME
TX

Other

Enumeration date
02/15/2008
Last updated
09/12/2011
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