MEDICARE: INTEGRATIVE MEDICAL SOLUTIONS 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1366912735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATIVE MEDICAL SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	3025 MATLOCK RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2902
Country	:	US
Telephone Number	:	469-854-9493
Fax Number	:	469-854-9493

Provider Business Practice Location Address
First Line	:	3025 MATLOCK RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2902
Country	:	US
Telephone Number	:	833-696-2329
Fax Number	:	469-802-1544

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TIMOTHY MCAULIFF
Credential	:	MD
Telephone Number	:	469-931-0684

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	09/17/2024

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