Active NPI
MD Integrative Health PLLC
- Family Medicine Physician
- Fredericksburg, TX
National Provider Identifier
1356162846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MD INTEGRATIVE HEALTH PLLC
- Practice address
- 1308 S State Highway 16
Fredericksburg, TX 78624-5058 - Phone
- (830) 997-2181
- Fax
- (830) 997-4453
- NPI assigned
- Oct 18, 2024
- Last updated
- Oct 18, 2024
- 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. Sandra Garred, MD
- Title
- Owner
- Phone
- (602) 327-3181
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1308 S State Highway 16
Fredericksburg, TX 78624-5058
Mailing address
1308 S State Highway 16
Fredericksburg, TX 78624-5058
Phone (830) 997-2181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Fredericksburg, TX
- NPI 1770578478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1356162846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245058",
"telephone_number": "830-997-2181",
"fax_number": "830-997-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245058",
"telephone_number": "830-997-2181",
"fax_number": "830-997-4453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD INTEGRATIVE HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "GARRED",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-327-3181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
- Ericka Tisdale McBrine, DDS
- McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
- Vance Andrews McDonald Jr., P.T.
- Donna Sue Lee McKellar, LPC
- Kenneth A McKellar Sr., LPC. PHD
- Dusti Lorraine Melucci, FNP-C
- Ralph George Menard Jr., MD
- Methodist Healthcare System of San Antonio LTD LLP (Breast Center at Methodist Hospital Hill Country)
- Methodist Healthcare System of San Antonio LTD LLP (Sleep Center at Methodist Hospital Hill Country)
- Methodist Healthcare System of San Antonio, LTD., L.L.P. (Methodist Hospital Hill Country)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.