Provider Demographics
NPI:1770344376
Name:TEXAS INTEGRATED HEALTHCARE PLLC
Entity type:Organization
Organization Name:TEXAS INTEGRATED HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOMEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:281-907-3661
Mailing Address - Street 1:1005 MARLANDWOOD RD STE 116
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3339
Mailing Address - Country:US
Mailing Address - Phone:254-265-8365
Mailing Address - Fax:
Practice Address - Street 1:1005 MARLANDWOOD RD
Practice Address - Street 2:STE 116
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502
Practice Address - Country:US
Practice Address - Phone:254-265-8365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS INTEGRATED HEALTHCARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty