| Integrative Multidisciplinary Medical Group | |
|
670 N Macarthur Blvd Coppell TX 75019-2733 | |
| (972) 745-4446 | |
| (972) 745-2597 |
| Full Name | Integrative Multidisciplinary Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 670 N Macarthur Blvd, Coppell, Texas |
| Authorized Official Name and Position | John W East (OWNER) |
| Authorized Official Contact | 2147227102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Multidisciplinary Medical Group 670 N Macarthur Blvd Coppell TX 75019-2733 Ph: (972) 745-4446 | Integrative Multidisciplinary Medical Group 670 N Macarthur Blvd Coppell TX 75019-2733 Ph: (972) 745-4446 |
| NPI Number | 1124554746 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 10/13/2017 |
| Medicare PECOS PAC ID | 6305104548 |
|---|---|
| Medicare Enrollment ID | O20171218001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124554746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P8718 (Texas) | Primary |
| Provider Name | Matthew Bruce Roberson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871590570 PECOS PAC ID: 8426158965 Enrollment ID: I20070712000313 |
| Provider Name | Derek Dustin Frye |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497060081 PECOS PAC ID: 5799906574 Enrollment ID: I20141112002521 |
| Provider Name | Rachel Lisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457826596 PECOS PAC ID: 6103153192 Enrollment ID: I20190814001297 |
Modoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 897 N Macarthur Blvd, Suite 110, Coppell, TX 75019 Phone: 469-304-3443 Fax: 469-304-3443 | |
Jmj Medical Group (de), P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8951 Cypress Waters Blvd Ste 160-1045, Coppell, TX 75019 Phone: 972-693-3222 | |
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Dfw Family Health & Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 W. State Hwy 121 Bypass, Suite 100, Coppell, TX 75019 Phone: 469-848-0844 | |
Chiropractic Of Coppell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 S Denton Tap Rd, Suite 210, Coppell, TX 75019 Phone: 972-393-2447 Fax: 972-393-4153 | |
Integrity Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S Belt Line Rd, Suite 300, Coppell, TX 75019 Phone: 469-554-9396 Fax: 214-206-9160 | |
Vh Medical Group (de), P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8951 Cypress Waters Blvd Ste 160-1045, Coppell, TX 75019 Phone: 972-693-3222 |