MEDICARE: INTEGRATED HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT81005	TX
2	133V00000X	Registered Dietitian	DT81965	TX

General Provider Information

NPI Number	:	1043582414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED HEALTH, INC.

Provider Business Mailing Address
First Line	:	6307 RODRIGO ST
Second Line	:	#B
City	:	HOUSTON
State	:	TX
Zip	:	77007-2029
Country	:	US
Telephone Number	:	281-653-7762
Fax Number	:

Provider Business Practice Location Address
First Line	:	6307 RODRIGO ST
Second Line	:	#B
City	:	HOUSTON
State	:	TX
Zip	:	77007-2029
Country	:	US
Telephone Number	:	281-653-7762
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MRS. LEE WRIGHT
Credential	:
Telephone Number	:	281-653-7762

Provider Enumeration Date	:	02/01/2012
Last Update Date	:	02/02/2012

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Directions to “INTEGRATED HEALTH, INC. ” Practice Location

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