Organization Active NPI

Integrative Medical Solutions PLLC

Doing business as Resurgence Health Care

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1366912735
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATIVE MEDICAL SOLUTIONS PLLC
Doing business as
Resurgence Health Care
Practice address
3025 Matlock Rd
Arlington, TX 76015-2902
Phone
(833) 696-2329
Fax
(469) 802-1544
NPI assigned
Nov 28, 2018
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Timothy McAuliff, MDNPI 1821320177
Title
Director
Phone
(469) 931-0684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3025 Matlock Rd
Arlington, TX 76015-2902

Mailing address

3025 Matlock Rd
Arlington, TX 76015-2902
Phone (469) 854-9493

Other practice location 1

190 E Stacy Rd Ste 306-238
Allen, TX 75002-8734
Phone (469) 854-9493

Other names 1

  • Resurgence Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

190 E Stacy Rd
Ste 306238
Allen, TX 75002
Phone (469) 854-9493

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1366912735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152902",
            "telephone_number": "469-854-9493",
            "fax_number": "469-854-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152902",
            "telephone_number": "833-696-2329",
            "fax_number": "469-802-1544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Stacy Rd Ste 306-238",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750028734",
            "country_code": "US",
            "telephone_number": "469-854-9493",
            "fax_number": "469-854-9493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "MCAULIFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-931-0684",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurgence Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.