Provider Demographics
NPI:1477928273
Name:TEXAS INTEGRATED HEALTHCARE SOLUTIONS PLLC
Entity Type:Organization
Organization Name:TEXAS INTEGRATED HEALTHCARE SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-739-6447
Mailing Address - Street 1:100 W SOUTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6100
Mailing Address - Country:US
Mailing Address - Phone:817-310-6604
Mailing Address - Fax:817-310-6478
Practice Address - Street 1:100 W SOUTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6100
Practice Address - Country:US
Practice Address - Phone:817-310-6604
Practice Address - Fax:817-310-6478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty