Organization · Type 2 NPI
Integrated Medical Practice
Specialist · Lewisville, TX
NPI number
1639517410
Active
Practice location
4110 FM 407, Suite 200
Lewisville, TX 75077-7269
Fax (940) 455-7359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | E20221 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1639517410
Integrated Medical Practice's National Provider Identifier is 1639517410, issued on Jun 13, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lewisville, TX. The record was last updated on Dec 2, 2013.