Provider Demographics
NPI:1043758998
Name:NORTEX INTEGRATED MEDICINE PLLC - FRISCO SERIES
Entity Type:Organization
Organization Name:NORTEX INTEGRATED MEDICINE PLLC - FRISCO SERIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMID
Authorized Official - Middle Name:
Authorized Official - Last Name:GHALAMBOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-520-1006
Mailing Address - Street 1:4228 N CENTRAL EXPY
Mailing Address - Street 2:104
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-6548
Mailing Address - Country:US
Mailing Address - Phone:214-520-1006
Mailing Address - Fax:
Practice Address - Street 1:5850 TOWN AND COUNTRY BLVD
Practice Address - Street 2:101
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6942
Practice Address - Country:US
Practice Address - Phone:469-362-8701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7044207Q00000X, 2081P2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty