# ADVANCED INTEGRATED MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013388479
- **Authorized official:** ALY KHYM BUENTIPO ZARZUELA D.O. (OWNER / PROVIDER)
- **Authorized official phone:** (210) 599-9570

## Contact information

- **Practice address:** 11465A TOEPPERWEIN RD, LIVE OAK, TX 78233-3138
- **Practice address phone:** (210) 599-9570
- **Practice address fax:** (210) 599-9572
- **Mailing address:** 11465A TOEPPERWEIN RD, LIVE OAK, TX 78233-3138
- **Mailing address phone:** (210) 599-9570
- **Mailing address fax:** (210) 599-9572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 01/29/2016