Integrum Health PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTEGRUM HEALTH PLLC

Practice address

3421 W Davis St Ste 210
Conroe, TX 77304-1846

Phone

(281) 467-1117

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Khuzema Kanchwala

Title

Ao

Phone

(281) 467-1114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1790295111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W DAVIS ST STE 210",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041846",
            "telephone_number": "281-467-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W DAVIS ST STE 210",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041846",
            "telephone_number": "281-467-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRUM HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KANCHWALA",
        "authorized_official_first_name": "KHUZEMA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "281-467-1114"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.