| Georgetown Integrated Medical Pllc | |
|
101 W Cooperative Way Ste 235, Georgetown, TX 78626-8211 | |
| (512) 868-6900 | |
| (512) 868-6995 |
| Full Name | Georgetown Integrated Medical Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 101 W Cooperative Way Ste 235, Georgetown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437736634 | NPI | - | NPPES |
| Provider Name | Ronald M George |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023454550 PECOS PAC ID: 2668615972 Enrollment ID: I20130905000055 |
| Provider Name | Bao Quoc Tran |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427435676 PECOS PAC ID: 1951660281 Enrollment ID: I20180112001640 |
| Provider Name | Andrew T Yakubik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205453685 PECOS PAC ID: 7416374723 Enrollment ID: I20200901003028 |
| Provider Name | Alexandria Imm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699347401 PECOS PAC ID: 4385021385 Enrollment ID: I20220512001792 |
| Provider Name | Kiffany T Betters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750861142 PECOS PAC ID: 7214314137 Enrollment ID: I20220518000768 |
| Provider Name | Benjamin D Page |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699410720 PECOS PAC ID: 9133501455 Enrollment ID: I20220803002520 |
| Provider Name | Rafael J Lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306559497 PECOS PAC ID: 4385019462 Enrollment ID: I20230403000720 |
| Provider Name | An M Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366176190 PECOS PAC ID: 8426423062 Enrollment ID: I20230412001438 |
| Provider Name | Brandon I Ascher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407542095 PECOS PAC ID: 4981064888 Enrollment ID: I20230724000715 |
| Provider Name | Chloe A Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952186868 PECOS PAC ID: 1153779889 Enrollment ID: I20231118000640 |
| Provider Name | Benjamin R Lanz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760268650 PECOS PAC ID: 1456873165 Enrollment ID: I20250321001933 |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Integrated Medical Pllc 1602 W Avenue A, Temple, TX 76504-4080 Ph: (254) 899-2225 | Georgetown Integrated Medical Pllc 101 W Cooperative Way Ste 235, Georgetown, TX 78626-8211 Ph: (512) 868-6900 |