MEDICARE: GOOD HEALTH INTEGRATIVE MEDICINE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1134085483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HEALTH INTEGRATIVE MEDICINE PLLC

Provider Business Mailing Address
First Line	:	6000 MENCHACA RD
Second Line	:	BUILDING 1 STE 2
City	:	AUSTIN
State	:	TX
Zip	:	78745
Country	:	US
Telephone Number	:	737-707-5127
Fax Number	:	844-689-4141

Provider Business Practice Location Address
First Line	:	6000 MENCHACA RD
Second Line	:	BUILDING 1 SUITE 2
City	:	AUSTIN
State	:	TX
Zip	:	78745-3803
Country	:	US
Telephone Number	:	737-707-5127
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASON A SPEES
Credential	:	APRN, L.AC
Telephone Number	:	737-707-5127

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	01/13/2026

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