GCR Integrated Health PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GCR INTEGRATED HEALTH PLLC

Practice address

100 W Southlake Blvd Ste 410
Southlake, TX 76092-6166

Phone

(817) 310-6604

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Robert Meyer, DCNPI 1205857034

Title

Owner

Phone

(817) 310-6604

Specialties & licenses 1

Addresses

Other names 1

• Advanced Integrated Medical Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Robert A Meyer, D.C.

  • Chiropractor
  • Hayden, ID
  • NPI 1205857034

  TX

  Medicare reassignment Authorized official
• Gary Milton Randall, D.O.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1194733733
  NPD

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1730664657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SOUTHLAKE BLVD STE 410",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926166",
            "telephone_number": "817-310-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SOUTHLAKE BLVD STE 410",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926166",
            "telephone_number": "817-310-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCR INTEGRATED HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-310-6604",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Integrated Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David G Garrigues, M.D.
• Tia Morgan Garth, BA
• Gary a. Ogin, MD, PA
• Lyndsay Marie Garza, PA-C
• Garen Gasparro, LCSW
• Laura O Geiger, BCBA
• Tara Geise, D.C.
• Marc Gelinas
• Gemini Concepts, Inc
• Avery Joseph George

• Multi-Specialty Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.

Verify at the official NPI Registry.