360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC; NPI #1730728403

Contact Information

360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC

1190 W PIONEER PKWY
ARLINGTON, TX 76013-6367

Phone: 682-276-6595
Fax: 817-583-6543
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for 360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC

NPI #	`1730728403`
LBN Legal business name	360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC
Authorized official	TRACY JULIEN - (FAMILY NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/30/2019
Last updated	02/17/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC

Contact Information

Specialty

Family

NPI Profile & details for 360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC

Reviews for 360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC