MEDICARE: INTEGRITY HEALTH PRIMARY CARE PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1528637915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY HEALTH PRIMARY CARE PLLC

Provider Business Mailing Address
First Line	:	3928 PASEO ROYALE BLVD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-8249
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23541 WESTHEIMER PKWY STE 160B
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3598
Country	:	US
Telephone Number	:	713-930-4227
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUSAN TANYI
Credential	:	MD
Telephone Number	:	309-532-7744

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	06/21/2021

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