MEDICARE: CENTRO DE SALUD INTEGRAL LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1841908241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO DE SALUD INTEGRAL LLC

Provider Business Mailing Address
First Line	:	101 E PARK BLVD STE 210
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8893
Country	:	US
Telephone Number	:	469-781-5569
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 E PARK BLVD STE 210
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8893
Country	:	US
Telephone Number	:	469-781-5569
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DINORAH JULIA REYES BRAVO
Credential	:
Telephone Number	:	817-791-1609

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	11/14/2022

Similar Medicare Providers

1366133910 — ZOE ARONOFF BCBA
Practice Location Address:

1410 14TH ST
PLANO, TX
75074-6302

Practice Phone: 605-271-2690
Practice Fax:

1922950831 — JUSTICE OGUERI
Practice Location Address:

1505 WILLIAMSBURG DR
PLANO, TX
75074-6043

Practice Phone: 214-694-6593
Practice Fax:

1952254211 — QUINN CALLIER
Practice Location Address:

3712 E PLANO PKWY STE 100B
PLANO, TX
75074-1833

Practice Phone: 281-889-1256
Practice Fax:

1891565248 — MR. NARESH KUMAR VASIREDDY PA-C
Practice Location Address:

720 E PARK BLVD STE 106
PLANO, TX
75074-8844

Practice Phone: 214-666-6259
Practice Fax: 972-724-0501

1639896442 — NORMA JEAN JOHNSON
Practice Location Address:

2600 K AVE STE 102
PLANO, TX
75074-5310

Practice Phone: 469-284-0838
Practice Fax: 469-304-1904

1407707045 — STEPHANIE KONONOVICH
Practice Location Address:

700 E PARK BLVD STE 100
PLANO, TX
75074-8842

Practice Phone: 214-986-3839
Practice Fax:

Directions to “CENTRO DE SALUD INTEGRAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.