INTEGRATED MEDICAL PRACTICE
NPI 1639517410
Specialist in Lewisville, TX

Active since June 13, 2013
4110 FM 407, SUITE 200, LEWISVILLE, TX 75077(940) 455-2336(940) 455-7359 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Integrated Medical Practice NPPES

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

INTEGRATED MEDICAL PRACTICE (NPI 1639517410) is a healthcare organization registered as a specialist in Lewisville, Texas and active in the NPI registry since June 2013. The organization lists Jerry Holubec, Owner, as its authorized official.

NPPES Registry Identity

NPI1639517410
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTEGRATED MEDICAL PRACTICE
Location Address4110 FM 407, SUITE 200Lewisville, TX 75077-7269
Mailing Address4110 Fm 407, Suite 200Lewisville, TX 75077-7269 · (940) 455-2336 · Fax (940) 455-7359
Fax(940) 455-7359
Organization SubpartNo
Authorized OfficialJerry HolubecOwner · (972) 234-4740
Enumeration DateJune 13, 2013
Last NPPES UpdateDecember 2, 2013
NPI 1639517410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · E20221
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4110 FM 407, Lewisville, TX 75077

Other Identifiers 1

Medicare UPINE20221TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4110 FM 407, SUITE 150
LEWISVILLE, TX 75077
Chiropractor
4110 FM 407, SUITE 200
LEWISVILLE, TX 75077
Chiropractor
4110 FM 407, 200
LEWISVILLE, TX 75077

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 Integrated Medical Practice's NPI number?

The NPI number for Integrated Medical Practice is 1639517410. It was assigned to this organization in the NPPES registry on June 13, 2013.

Where is Integrated Medical Practice located?

Integrated Medical Practice is located at 4110 Fm 407 Suite 200, Lewisville, TX 75077. The listed phone number is (940) 455-2336.

What is Integrated Medical Practice's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Integrated Medical Practice was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.