Active NPI
Garland Integrated Healthcare PLLC
- Adult Medicine Physician
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- GARLAND INTEGRATED HEALTHCARE PLLC
- Practice address
- 4702 Northwest Hwy
Garland, TX 75043-5284 - Phone
- (972) 686-2701
- Fax
- (972) 686-7496
- NPI assigned
- Sep 2, 2015
- Last updated
- Sep 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Kouri, M.D.
- Title
- President/Ceo
- Phone
- (972) 686-2701
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
4702 Northwest Hwy
Garland, TX 75043-5284
Mailing address
4702 Northwest Hwy
Garland, TX 75043-5284
Phone (972) 686-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2106742 | Garland Integrated Healthcare LLC | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
1138 Belt Line Rd
Ste 135
Garland, TX 75040
Phone (469) 969-0426
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Medicine Physician
- Fort Worth, TX
- NPI 1649276965
-
- Family Nurse Practitioner
- Garland, TX
- NPI 1548721368
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1316301609
-
- Chiropractor
- Plano, TX
- NPI 1033725544
-
- Chiropractor
- Garland, TX
- NPI 1780385773
-
- Chiropractor
- Garland, TX
- NPI 1346397080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1083082481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 NORTHWEST HWY",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435284",
"telephone_number": "972-686-2701",
"fax_number": "972-270-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 NORTHWEST HWY",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435284",
"telephone_number": "972-686-2701",
"fax_number": "972-686-7496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARLAND INTEGRATED HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-02",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "KOURI",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "972-686-2701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
- Garland Eye Associates, P.a.
- Garland Hearing Aid Center, Inc. (Calvert Hearing Care)
- Garland Home Healthcare Agency Inc
- Garland Independent School District
- Garland Independent Scool District (GISD Employee Clinic)
- Garland Isd
- Garland Kids Clinic LLC
- Garland Main Dental Group PA (Optima Dentistry at Garland)
- Garland Neurological Clinic PA
- Garland Nursing and Rehabilitation LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.