| Advanced Integrated Medical Centers | |
|
100 W Southlake Blvd Ste 410 Southlake TX 76092-6166 | |
| (817) 310-6604 | |
| Not Available |
| Full Name | Advanced Integrated Medical Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 W Southlake Blvd Ste 410, Southlake, Texas |
| Authorized Official Name and Position | Robert Meyer (OWNER) |
| Authorized Official Contact | 8173106604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Integrated Medical Centers 100 W Southlake Blvd Ste 410 Southlake TX 76092-6166 Ph: (817) 310-6604 | Advanced Integrated Medical Centers 100 W Southlake Blvd Ste 410 Southlake TX 76092-6166 Ph: (817) 310-6604 |
| NPI Number | 1730664657 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 01/14/2020 |
| Medicare PECOS PAC ID | 3173864931 |
|---|---|
| Medicare Enrollment ID | O20190405000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730664657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Robert A Meyer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205857034 PECOS PAC ID: 8022075324 Enrollment ID: I20120531000562 |
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