Alpha Life Integrated Medicine, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ALPHA LIFE INTEGRATED MEDICINE, PLLC

Practice address

600 E John Carpenter Fwy Ste 354
Irving, TX 75062-3990

Phone

(214) 888-2171

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Dale Warren, DC

Title

Authorized Official

Phone

(316) 882-5353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1679089783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E JOHN CARPENTER FWY STE 354",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E JOHN CARPENTER FWY STE 354",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623990",
            "telephone_number": "214-888-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA LIFE INTEGRATED MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "316-882-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Irving, TX
• Providers in Irving, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.