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Integrative Healthcare Associates PLLC

General Practice in Dallas, TX. Organization (NPI-2).

NPI number1326432246
StatusActive
Last updated in NPPESMar 28, 2015

Details

NPI
1326432246
Entity type
Organization (NPI-2)
Legal business name
Integrative Healthcare Associates PLLC
Organization subpart
No
Enumeration date
Mar 28, 2015
Last updated
Mar 28, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes
363L00000X Nurse Practitioner––

Practice location

17330 Preston Rd
Ste A150
Dallas, TX 75252-5997

Phone 214-842-6460 · Fax 214-594-8108

Mailing address

9701 Brodie Ln
202
Austin, TX 78748-6282

Phone 214-842-6460 · Fax 214-594-8108

Authorized official

Dan Frederick
Owner
2148426460

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Physician providers in Dallas, TX

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