Mark Charrette Enterprises LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MARK CHARRETTE ENTERPRISES LLC

Doing business as

Integrated Health & Rehab

Practice address

500 Flower Mound Rd SPC 104
Flower Mound, TX 75028-3418

Phone

(214) 285-1012

Fax

(214) 285-1014

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mark Charrette, D.C.

Title

Owner

Phone

(214) 285-1012

Specialties & licenses 1

Addresses

Other names 1

• Integrated Health & Rehab Doing business as

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1124563986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FLOWER MOUND RD SPC 104",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283418",
            "telephone_number": "214-285-1012",
            "fax_number": "214-285-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FLOWER MOUND RD SPC 104",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283418",
            "telephone_number": "214-285-1012",
            "fax_number": "214-285-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK CHARRETTE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "CHARRETTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-285-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.