Healthconnection Integrative Medicine PLLC

Organization Active NPI Critical Care Medicine Nurse Practitioner · Keller, TX

NPI 1508550328 · NPPES record last updated Oct 30, 2023

Key facts

NPI
1508550328
Entity type
Organization (NPI type 2)
Primary specialty
Critical Care Medicine Nurse Practitioner 363LC0200X
Legal business name
HEALTHCONNECTION INTEGRATIVE MEDICINE PLLC
Practice address
451 Keller Pkwy
Keller, TX 76248-2302
Phone
(817) 337-2584
NPI assigned
Jun 5, 2023
Organization subpart
No

Authorized official

Name
Frank Alamilla, DC
Title
Owner
Phone
(817) 337-2584

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20231130002438 TX Part B Supplier - Clinic/Group Practice 7618325648 Receives reassigned benefits from 4 practitioners
Practice locations: Keller, TX
O20240423002221 TX DME Supplier - Multi-Specialty - Physician 7618325648 Practice locations: Keller, TX

National Provider Directory

Locations

451 Keller Pkwy
Keller, TX 76248
Phone (817) 337-2584

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Critical Care Medicine Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LC0200X Yes

Addresses

Primary practice location

451 Keller Pkwy
Keller, TX 76248-2302

Mailing address

451 Keller Pkwy
Keller, TX 76248-2302
Phone (817) 337-2584

Other providers in Keller, TX

All providers in Keller, TX · Critical Care Medicine Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.