GARLAND INTEGRATED HEALTHCARE PLLC
NPI 1083082481
Family Medicine - Adult Medicine in Garland, TX

Active since September 02, 2015CLIA 45D2106742 · Waiver
4702 NORTHWEST HWY, GARLAND, TX 75043(972) 686-2701(972) 686-7496 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2020, Mar 16, 2016, Feb 25, 2016 and 2 more (5 updates tracked since 2015).

About Garland Integrated Healthcare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARLAND INTEGRATED HEALTHCARE PLLC (NPI 1083082481) is a healthcare organization registered as an adult medicine in Garland, Texas and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Jason Kouri, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083082481
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameGARLAND INTEGRATED HEALTHCARE PLLC
Location Address4702 NORTHWEST HWYGarland, TX 75043-5284
Mailing Address4702 Northwest HwyGarland, TX 75043-5284 · (972) 686-2701 · Fax (972) 270-5335
Fax(972) 686-7496
Organization SubpartNo
Authorized OfficialJason KouriPresident/ceo · (972) 686-2701
Enumeration DateSeptember 2, 2015
Last NPPES UpdateSeptember 10, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1083082481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
4702 NORTHWEST HWY, Garland, TX 75043

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garland Integrated Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Garland Integrated Healthcare PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1548721368
4702 NORTHWEST HWY
Garland, TX 75043
(972) 686-7400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316301609
9888 FERGUSON RD STE 101B
Dallas, TX 75228
(214) 328-4389
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1649276965
903 SUMMIT AVE
Fort Worth, TX 76102
(817) 877-5353
✔ PECOS41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2106742

Garland Integrated Healthcare LLC · Garland, TX
Active · expires Dec 27, 2027
CLIA Number45D2106742
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorJason Kouri
Laboratory Phone(972) 686-7400
Laboratory LocationGarland Integrated Healthcare LLC4702 Northwest Hwy, Garland, TX 75043
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garland Integrated Healthcare PLLC's NPI number?

The NPI number for Garland Integrated Healthcare PLLC is 1083082481. It was assigned to this organization in the NPPES registry on September 2, 2015.

Where is Garland Integrated Healthcare PLLC located?

Garland Integrated Healthcare PLLC is located at 4702 Northwest Hwy, Garland, TX 75043. The listed phone number is (972) 686-2701.

What is Garland Integrated Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Garland Integrated Healthcare PLLC enrolled in Medicare?

Yes. Garland Integrated Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Garland Integrated Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Garland Integrated Healthcare PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Garland Integrated Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2106742) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Garland Integrated Healthcare PLLC accept?

Health plans from Molina Healthcare and WellPoint list Garland Integrated Healthcare PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Garland Integrated Healthcare PLLC was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.