| Integrity Health | |
|
5605 Old Bullard Rd Ste B Tyler TX 75703 | |
| (903) 630-5595 | |
| (903) 630-5599 |
| Full Name | Integrity Health |
|---|---|
| Speciality | Physician Assistant |
| Location | 5605 Old Bullard Rd Ste B, Tyler, Texas |
| Authorized Official Name and Position | Kevin Scully (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 9036305595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Health 5605 Old Bullard Rd Ste B Tyler TX 75703-4306 Ph: (903) 630-5595 | Integrity Health 5605 Old Bullard Rd Ste B Tyler TX 75703 Ph: (903) 630-5595 |
| NPI Number | 1083106462 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083106462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Primary |
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