Advanced Integrated Medicine PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ADVANCED INTEGRATED MEDICINE PLLC

Practice address

11465A Toepperwein Rd
Live Oak, TX 78233-3138

Phone

(210) 599-9570

Fax

(210) 599-9572

NPI assigned

Oct 12, 2015

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aly Khym Buentipo Zarzuela, D.O.

Title

Owner / Provider

Phone

(210) 599-9570

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1013388479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11465A TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333138",
            "telephone_number": "210-599-9570",
            "fax_number": "210-599-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11465A TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333138",
            "telephone_number": "210-599-9570",
            "fax_number": "210-599-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTEGRATED MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "ZARZUELA",
        "authorized_official_first_name": "ALY KHYM",
        "authorized_official_middle_name": "BUENTIPO",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "210-599-9570",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regi S Abraham, MSW,ACSW,LCSW
• Shaniece Adams, LPC
• Agilitas USA Inc. (Results Physiotherapy)
• Lacey Lillian Aguero, LSA
• Amlis Aguilar, M.S., CCC-SLP
• Osama Iqbal Ahmed, MD
• Ryan J Ahr, PA-C

• Physical Medicine & Rehabilitation Physician in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.