Provider Demographics
NPI:1104495589
Name:INTEGRITY HEALTH MEDICAL GROUP PLLC
Entity type:Organization
Organization Name:INTEGRITY HEALTH MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TANYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:309-532-7744
Mailing Address - Street 1:3928 PASEO ROYALE BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-8249
Mailing Address - Country:US
Mailing Address - Phone:309-532-7744
Mailing Address - Fax:
Practice Address - Street 1:23541 WESTHEIMER PKWY STE 160
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3598
Practice Address - Country:US
Practice Address - Phone:713-930-4227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty