| Integrative Health Texas Pllc | |
|
5252 W University Dr Ste 1500 Mckinney TX 75071-7822 | |
| (469) 764-5000 | |
| Not Available |
| Full Name | Integrative Health Texas Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5252 W University Dr Ste 1500, Mckinney, Texas |
| Authorized Official Name and Position | Nestor Zenarosa (OWNER) |
| Authorized Official Contact | 4694205544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Health Texas Pllc Po Box 38486 Belfast ME 04915-1226 Ph: (469) 420-5527 | Integrative Health Texas Pllc 5252 W University Dr Ste 1500 Mckinney TX 75071-7822 Ph: (469) 764-5000 |
| NPI Number | 1629848254 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 3779927611 |
|---|---|
| Medicare Enrollment ID | O20240219001823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629848254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rahul Salooja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912190729 PECOS PAC ID: 6507917556 Enrollment ID: I20090702000206 |
| Provider Name | Jon E Daniell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265544217 PECOS PAC ID: 0244412302 Enrollment ID: I20110310000347 |
| Provider Name | Jose R Rosillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649400482 PECOS PAC ID: 9234385253 Enrollment ID: I20120807000884 |
| Provider Name | Christie P Lathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215180047 PECOS PAC ID: 1052443736 Enrollment ID: I20160701001103 |
| Provider Name | Binu Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297083 PECOS PAC ID: 4385902972 Enrollment ID: I20180104000252 |
| Provider Name | Steven B Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659725646 PECOS PAC ID: 7416203336 Enrollment ID: I20180709000725 |
| Provider Name | Amanda Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528563848 PECOS PAC ID: 3375876360 Enrollment ID: I20190606000157 |
| Provider Name | Alida Chacon Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210298 PECOS PAC ID: 6002245503 Enrollment ID: I20200404000125 |
| Provider Name | Kenneth Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952878811 PECOS PAC ID: 0941543128 Enrollment ID: I20210210002686 |
| Provider Name | Amy Elizabeth Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174270144 PECOS PAC ID: 4486038288 Enrollment ID: I20220829000443 |
| Provider Name | Sandra K Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265004659 PECOS PAC ID: 3476926130 Enrollment ID: I20230227002961 |
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