MEDICARE: GLENVIEW CLINICAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1093422776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLENVIEW CLINICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	7640 GLENVIEW DR STE C
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8330
Country	:	US
Telephone Number	:	817-284-0057
Fax Number	:	817-284-1042

Provider Business Practice Location Address
First Line	:	7640 GLENVIEW DR STE C
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8330
Country	:	US
Telephone Number	:	817-284-0057
Fax Number	:	817-284-1042

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	MITA MEHTA
Credential	:	PHARMACISTS
Telephone Number	:	817-284-0057

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	11/17/2023

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Directions to “GLENVIEW CLINICAL SERVICES LLC ” Practice Location

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