Provider Demographics
NPI:1235604430
Name:INTEGRATED HEALTHCARE, LLC
Entity Type:Organization
Organization Name:INTEGRATED HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-485-9900
Mailing Address - Street 1:5435 N GARLAND AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2787
Mailing Address - Country:US
Mailing Address - Phone:972-485-9900
Mailing Address - Fax:972-485-9901
Practice Address - Street 1:350 S PLANO RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4505
Practice Address - Country:US
Practice Address - Phone:972-485-9900
Practice Address - Fax:972-485-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty