Healthcare Provider Details

I. General information

NPI: 1982053898
Provider Name (Legal Business Name): TEXAS INTEGRATED HEALTHCARE SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2016
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7967 CINCINNATI DAYTON RD STE P
WEST CHESTER OH
45069-2064
US

IV. Provider business mailing address

1606 WYNN JOYCE RD
GARLAND TX
75043-3266
US

V. Phone/Fax

Practice location:
  • Phone: 513-685-0949
  • Fax: 513-282-0946
Mailing address:
  • Phone: 972-303-0683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHERIF SHAMMA
Title or Position: OWNER
Credential:
Phone: 281-739-6447