MEDICARE: GET INSURED 75

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	251X00000X	Supports Brokerage Agency		TX

General Provider Information

NPI Number	:	1063867414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GET INSURED 75

Provider Business Mailing Address
First Line	:	4595 W SPRING CREEK PKWY APT 3814
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-5249
Country	:	US
Telephone Number	:	214-888-6891
Fax Number	:

Provider Business Practice Location Address
First Line	:	4595 W SPRING CREEK PKWY APT 3814
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-5249
Country	:	US
Telephone Number	:	214-888-6891
Fax Number	:

Authorized Official
Title or Position	:	AGENCY OWNER
Name	:	RONALD CARRITHERS
Credential	:
Telephone Number	:	214-888-6891

Provider Enumeration Date	:	05/03/2016
Last Update Date	:	05/03/2016

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