MEDICARE: INTUITIVE PRACTICE SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician
2	207Q00000X	Family Medicine Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1841676376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTUITIVE PRACTICE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	3124 N TARRANT PKWY
Second Line	:	SUITE 200
City	:	FT WORTH
State	:	TX
Zip	:	76177-8617
Country	:	US
Telephone Number	:	817-502-7411
Fax Number	:	817-502-7412

Provider Business Practice Location Address
First Line	:	3124 N TARRANT PKWY
Second Line	:	SUITE 200
City	:	FT WORTH
State	:	TX
Zip	:	76177-8617
Country	:	US
Telephone Number	:	817-502-7411
Fax Number	:	817-502-7412

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALI ALAVI
Credential	:	DO
Telephone Number	:	817-602-2626

Provider Enumeration Date	:	08/06/2015
Last Update Date	:	08/06/2015

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Directions to “INTUITIVE PRACTICE SOLUTIONS, LLC ” Practice Location

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