INTEGRATED WELLNESS CLINICS PLLC (NPI# 1144792615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144792615 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WELLNESS CLINICS PLLC |
| Practice Address |
3308 Preston Rd Ste 350-307 Plano TX 75093-7453 |
| Practice Telephone | 4699310684 |
| Practice Fax Number | 4699310712 |
| Mailing Telephone | 4699310684 |
| Mailing Fax Number | 4699310712 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | DR. TIMOTHY MCAULIFF (DIRECTOR) |
| Authorized Official Telephone | 4699310684 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3308 PRESTON RD STE 350-307 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-7453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1619107513 | Michael Robert Cavenee | Preventive Medicine | 5128 Corinthian Bay Dr, Plano, TX 75093-4001 | 2009-07-26 |
| 1558590737 | North Texas Flu Shots LLC | Preventive Medicine | 4011 W Plano Pkwy, Suite 106b, Plano, TX 75093-5629 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847672 | East Texas Functional Medicine Center, Pllc | Preventive Medicine | 419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063 | 2020-09-29 |
| 1710502695 | Carol Pena | Preventive Medicine | 412 Capricorn St, Cedar Hill, TX 75104-8106 | 2020-06-16 |
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1942845565 | Preferred Cardio Checkup Management LLC | Preventive Medicine | 211 Bent Creek Dr, Waxahachie, TX 75165-6353 | 2019-11-07 |
| 1982256129 | Lifeworx | Preventive Medicine | 6001 Lake Hubbard Pkwy, Garland, TX 75043-4727 | 2019-07-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1588122774 | Jason James Moran | Preventive Medicine | 38706 Sugar Wood Dr, Magnolia, TX 77355-2621 | 2019-03-06 |
| 1578047635 | Barry Davis | Preventive Medicine | 1200 Hermann Pressler Dr Ste 916, Houston, TX 77030-3900 | 2018-09-24 |
| 1013423284 | Anew You Medical Weight Loss and Spa | Preventive Medicine | 14602 Huebner Rd, 100, San Antonio, TX 78230 | 2017-12-23 |
| 1366981607 | Healthreclaimed Center of Austin, Pa | Preventive Medicine | 3701 Executive Center Dr, Suite 211, Austin, TX 78731-1644 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.