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Organization
INTEGRATIVE MEDICAL GROUP OF TEXAS
Active
Organization
INTEGRATIVE MEDICAL GROUP OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID CARLSON DC (OWNER)
(512) 447-9093
Entity
Organization
Contact information
Practice address
6905 WEST GATE BLVD. STE A, AUSTIN, TX 78745
(512) 447-9093
Mailing address
6905 WEST GATE BLVD. STE A, AUSTIN, TX 78745
(512) 447-9093
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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