Integrative Healthcare Associates PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATIVE HEALTHCARE ASSOCIATES PLLC

Practice address

17330 Preston Rd
Ste A150
Dallas, TX 75252-5997

Phone

(214) 842-6460

Fax

(214) 594-8108

NPI assigned

Mar 28, 2015

Organization subpart

No

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

Authorized official

Name

Dan Frederick, MD

Title

Owner

Phone

(214) 842-6460

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427500800000",
    "number": "1326432246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN",
            "address_2": "202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486282",
            "telephone_number": "214-842-6460",
            "fax_number": "214-594-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 PRESTON RD",
            "address_2": "STE A150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525997",
            "telephone_number": "214-842-6460",
            "fax_number": "214-594-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTHCARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-28",
        "last_updated": "2015-03-28",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-842-6460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Pain and Psychiatry PLLC
• Integrative Pain Institute PLLC
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• Integrative Pediatric Therapy
• Integrative Physiatry, PLLC

• General Practice Physician in Dallas, TX
• Providers in Dallas, 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 Mar 28, 2015; 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.