Provider Demographics
NPI:1659465961
Name:INTUNE SOLUTIONS CORPORATION
Entity type:Organization
Organization Name:INTUNE SOLUTIONS CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:GLEZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-463-3985
Mailing Address - Street 1:2810 W. MORTON ST.
Mailing Address - Street 2:STE 102
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020
Mailing Address - Country:US
Mailing Address - Phone:903-463-3985
Mailing Address - Fax:903-465-7863
Practice Address - Street 1:2713 W MORTON ST STE 103
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1469
Practice Address - Country:US
Practice Address - Phone:903-463-3985
Practice Address - Fax:903-465-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336C0004X, 3336C0004X
TX240403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150296Medicaid
4547824OtherOTHER ID NUMBER-COMMERCIAL NUMBER
FT8750994OtherDEA #
TXPH0547Medicare PIN
TXBT9183942OtherDEA #