Provider Demographics
NPI:1366912735
Name:INTEGRATIVE MEDICAL SOLUTIONS PLLC
Entity type:Organization
Organization Name:INTEGRATIVE MEDICAL SOLUTIONS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAULIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-931-0684
Mailing Address - Street 1:3025 MATLOCK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2902
Mailing Address - Country:US
Mailing Address - Phone:469-854-9493
Mailing Address - Fax:469-854-9493
Practice Address - Street 1:3025 MATLOCK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2902
Practice Address - Country:US
Practice Address - Phone:833-696-2329
Practice Address - Fax:469-802-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty