Healthcare Provider Details

I. General information

NPI: 1457987422
Provider Name (Legal Business Name): PRECISION INTEGRATED MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2849 MORRISS RD
FLOWER MOUND TX
75028-3662
US

IV. Provider business mailing address

2849 MORRISS RD
FLOWER MOUND TX
75028-3662
US

V. Phone/Fax

Practice location:
  • Phone: 972-956-9887
  • Fax: 888-922-3397
Mailing address:
  • Phone: 972-956-9887
  • Fax: 888-922-3397

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 TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL D BARNETT
Title or Position: MANAGING MEMBER
Credential: DC
Phone: 972-956-9887