MEDICARE: ALLIED INTEGRATED CARE SPECIALISTS, PA

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	208M00000X	Hospitalist Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB131235	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932491578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED INTEGRATED CARE SPECIALISTS, PA

Provider Business Mailing Address
First Line	:	1860 S SEGUIN AVE
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3914
Country	:	US
Telephone Number	:	210-448-7700
Fax Number	:	210-448-7703

Provider Business Practice Location Address
First Line	:	1860 S SEGUIN AVE
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3914
Country	:	US
Telephone Number	:	210-448-7700
Fax Number	:	210-448-7703

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID HO PAK
Credential	:	D.O.
Telephone Number	:	210-448-7700

Provider Enumeration Date	:	05/13/2011
Last Update Date	:	02/09/2012

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Directions to “ALLIED INTEGRATED CARE SPECIALISTS, PA ” Practice Location

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