Provider Demographics
NPI:1841858214
Name:INTEGRANET PHYSICIAN RESOURCE, INC.
Entity type:Organization
Organization Name:INTEGRANET PHYSICIAN RESOURCE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NEMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-447-6800
Mailing Address - Street 1:2900 NORTH LOOP W STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8868
Mailing Address - Country:US
Mailing Address - Phone:281-447-6800
Mailing Address - Fax:
Practice Address - Street 1:2900 NORTH LOOP W STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8868
Practice Address - Country:US
Practice Address - Phone:281-447-6800
Practice Address - Fax:281-447-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization