Provider Demographics
NPI:1619522984
Name:HEALTH-CARE INTERNATIONAL SERVICES, P.A.
Entity Type:Organization
Organization Name:HEALTH-CARE INTERNATIONAL SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-541-4987
Mailing Address - Street 1:4321 W FM 436
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-7856
Mailing Address - Country:US
Mailing Address - Phone:254-541-4987
Mailing Address - Fax:
Practice Address - Street 1:4321 W FM 436
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-7856
Practice Address - Country:US
Practice Address - Phone:254-541-4987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty