National Provider Identifier Database

INTEGRATIVE MEDICAL GROUP OF TEXAS
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

INTEGRATIVE MEDICAL GROUP OF TEXAS
6905 WEST GATE BLVD. STE A
AUSTIN, TX78745
Phone: 512-447-9093
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for INTEGRATIVE MEDICAL GROUP OF TEXAS

NPI Number 1225685712
Legal business name
LBN
INTEGRATIVE MEDICAL GROUP OF TEXAS
Authorized official JOHN CARLSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/20/2019
Last updated 08/20/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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