Provider Demographics
NPI:1588437859
Name:IA HEALTHLINK
Entity type:Organization
Organization Name:IA HEALTHLINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-746-7771
Mailing Address - Street 1:2707 BOLTON BOONE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2077
Mailing Address - Country:US
Mailing Address - Phone:972-746-7771
Mailing Address - Fax:866-969-4184
Practice Address - Street 1:2707 BOLTON BOONE DR STE 100
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2077
Practice Address - Country:US
Practice Address - Phone:972-746-7771
Practice Address - Fax:866-969-4184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty