Provider Demographics
NPI:1841676376
Name:INTUITIVE PRACTICE SOLUTIONS, LLC
Entity type:Organization
Organization Name:INTUITIVE PRACTICE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAVI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-602-2626
Mailing Address - Street 1:3124 N TARRANT PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-8617
Mailing Address - Country:US
Mailing Address - Phone:817-502-7411
Mailing Address - Fax:817-502-7412
Practice Address - Street 1:3124 N TARRANT PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-8617
Practice Address - Country:US
Practice Address - Phone:817-502-7411
Practice Address - Fax:817-502-7412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty