Provider Demographics
NPI:1740385475
Name:ADVANCED INTEGRATIVE HEALTHCARE
Entity Type:Organization
Organization Name:ADVANCED INTEGRATIVE HEALTHCARE
Other - Org Name:THE WOODLANDS INTEGRATIVE MEDICINE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-419-0076
Mailing Address - Street 1:6769 LAKE WOODLANDS DRIVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382
Mailing Address - Country:US
Mailing Address - Phone:281-419-0076
Mailing Address - Fax:281-419-0136
Practice Address - Street 1:6769 LAKE WOODLANDS DRIVE
Practice Address - Street 2:SUITE E
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382
Practice Address - Country:US
Practice Address - Phone:281-419-0076
Practice Address - Fax:281-419-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty