Provider Demographics
NPI:1093422776
Name:GLENVIEW CLINICAL SERVICES LLC
Entity Type:Organization
Organization Name:GLENVIEW CLINICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACISTS
Authorized Official - Phone:817-284-0057
Mailing Address - Street 1:7640 GLENVIEW DR STE C
Mailing Address - Street 2:
Mailing Address - City:RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8330
Mailing Address - Country:US
Mailing Address - Phone:817-284-0057
Mailing Address - Fax:817-284-1042
Practice Address - Street 1:7640 GLENVIEW DR STE C
Practice Address - Street 2:
Practice Address - City:RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8330
Practice Address - Country:US
Practice Address - Phone:817-284-0057
Practice Address - Fax:817-284-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty