Healthcare Provider Details
I. General information
NPI: 1376214387
Provider Name (Legal Business Name): INTERGRATIVE CARE OF NORTH TEXAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2021
Last Update Date: 09/29/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8501 WADE BLVD STE 1330
FRISCO TX
75034-0245
US
IV. Provider business mailing address
8501 WADE BLVD STE 1340
FRISCO TX
75034-0245
US
V. Phone/Fax
- Phone: 214-618-0853
- Fax: 214-618-0859
- Phone: 214-618-0853
- Fax: 214-618-0859
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ADEEL
HAQ
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 214-618-0853