| Integrative Medical Home Care Pllc | |
|
1000 Heritage Center Cir Ste 122 Round Rock TX 78664-4463 | |
| (512) 906-0168 | |
| (512) 906-0158 |
| Full Name | Integrative Medical Home Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Heritage Center Cir Ste 122, Round Rock, Texas |
| Authorized Official Name and Position | Yun Kim (OWNER) |
| Authorized Official Contact | 5129060168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medical Home Care Pllc 1000 Heritage Center Cir Ste 122 Round Rock TX 78664-4463 Ph: (512) 906-0168 | Integrative Medical Home Care Pllc 1000 Heritage Center Cir Ste 122 Round Rock TX 78664-4463 Ph: (512) 906-0168 |
| NPI Number | 1245719053 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 9032454764 |
|---|---|
| Medicare Enrollment ID | O20181227000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245719053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Thomas M Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821175407 PECOS PAC ID: 9032297205 Enrollment ID: I20080429000389 |
| Provider Name | Yun Woong Kim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730404138 PECOS PAC ID: 5799925806 Enrollment ID: I20130715000305 |
| Provider Name | Emily Wilder Weissgarber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134784705 PECOS PAC ID: 2062747959 Enrollment ID: I20190715003034 |
| Provider Name | Loveleen M Swami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255973558 PECOS PAC ID: 6103253638 Enrollment ID: I20200224001033 |
| Provider Name | Hisako Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124635370 PECOS PAC ID: 0840610960 Enrollment ID: I20201012001003 |
| Provider Name | Shakea Patrice Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275146086 PECOS PAC ID: 6103236203 Enrollment ID: I20201030001283 |
| Provider Name | Javier Montelongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962089664 PECOS PAC ID: 9638357635 Enrollment ID: I20211209002729 |
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