Healthcare Provider Details

I. General information

NPI: 1225655418
Provider Name (Legal Business Name): INTEGRATED HEALTH AND WELLNESS CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2020
Last Update Date: 07/03/2020
Certification Date: 07/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5228 VILLAGE CREEK DR STE 101
PLANO TX
75093-4431
US

IV. Provider business mailing address

2024 W 15TH ST STE F352
PLANO TX
75075-7363
US

V. Phone/Fax

Practice location:
  • Phone: 214-762-9084
  • Fax: 214-935-9299
Mailing address:
  • Phone: 972-370-5771
  • Fax: 972-678-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMEER SYED
Title or Position: PRESIDENT
Credential: MD
Phone: 832-567-8548