Healthcare Provider Details

I. General information

NPI: 1437736634
Provider Name (Legal Business Name): GEORGETOWN INTEGRATED MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W COOPERATIVE WAY STE 235
GEORGETOWN TX
78626-8211
US

IV. Provider business mailing address

61 N KEGLEY RD
TEMPLE TX
76502-4067
US

V. Phone/Fax

Practice location:
  • Phone: 512-868-6900
  • Fax: 512-868-6995
Mailing address:
  • Phone: 254-899-2225
  • Fax: 254-778-6491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER KYLE PRICE
Title or Position: OWNER
Credential: DC
Phone: 360-460-4069