MEDICARE: INTERNATIONAL TRAVEL SOLUTIONS 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	174400000X	Specialist	K4963	TX

General Provider Information

NPI Number	:	1306090881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNATIONAL TRAVEL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4011 W PLANO PKWY
Second Line	:	SUITE 106
City	:	PLANO
State	:	TX
Zip	:	75093-5629
Country	:	US
Telephone Number	:	469-241-1954
Fax Number	:	866-272-0960

Provider Business Practice Location Address
First Line	:	4011 W PLANO PKWY
Second Line	:	SUITE 106
City	:	PLANO
State	:	TX
Zip	:	75093-5629
Country	:	US
Telephone Number	:	469-241-1954
Fax Number	:	866-272-0960

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ARTHUR S DAWSON
Credential	:
Telephone Number	:	469-241-1954

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	11/10/2008

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