MEDICARE: TECH SOLUTIONS

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	246Z00000X	Other Specialist/Technologist	2809	TX

General Provider Information

NPI Number	:	1760517767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TECH SOLUTIONS

Provider Business Mailing Address
First Line	:	1016 WESTMINSTER LN
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-2562
Country	:	US
Telephone Number	:	817-538-3649
Fax Number	:	817-453-6149

Provider Business Practice Location Address
First Line	:	1016 WESTMINSTER LN
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-2562
Country	:	US
Telephone Number	:	817-538-3649
Fax Number	:	817-453-6149

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. RICHARD GLENN IVY
Credential	:	D.C.
Telephone Number	:	817-538-3649

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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