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General NPI Number Information
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NPI Number | 1518751577
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTH & MEDICINE
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2104 FM 2920 RD STE B
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City | SPRING
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State | TX
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Zip | 77388-3677
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Country | US
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Telephone | 254-493-3301
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Fax | 609-681-6617
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Provider Business Mailing Address
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Address Line | 2104 FM 2920 RD STE B
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City | SPRING
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State | TX
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Zip | 77388-3677
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Country | US
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Telephone | 254-493-3301
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Fax | 609-681-6617
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Authorized Official
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Title or Position | OWNER/NP
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Name | MICHAEL LUKENOVICH
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Credential | FNP, ENP
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Telephone | 254-493-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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