Healthcare Provider Details

I. General information

NPI: 1629939780
Provider Name (Legal Business Name): INTEGRITY HEALING TOUCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9235 CLUB GLEN DR
DALLAS TX
75243-6322
US

IV. Provider business mailing address

9235 CLUB GLEN DR
DALLAS TX
75243-6322
US

V. Phone/Fax

Practice location:
  • Phone: 214-802-8919
  • Fax: 214-556-1216
Mailing address:
  • Phone: 214-802-8919
  • Fax: 214-556-1216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ADAM JOHN MEIERHOFER
Title or Position: MANAGING DIRECTOR
Credential: PT
Phone: 214-802-8919