Provider Demographics
NPI:1508563453
Name:TEXAS INTEGRATED HEALTH, INC.
Entity Type:Organization
Organization Name:TEXAS INTEGRATED HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ETZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-444-4307
Mailing Address - Street 1:2200 PASEO VERDE PKWY STE 280
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2703
Mailing Address - Country:US
Mailing Address - Phone:310-444-4300
Mailing Address - Fax:
Practice Address - Street 1:2200 PASEO VERDE PKWY STE 280
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2703
Practice Address - Country:US
Practice Address - Phone:310-444-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty