# INTEGRATED MEDICAL SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588158752
- **Authorized official:** CHARLOTTE BALLARD ENP-BC (OWNER)
- **Authorized official phone:** (210) 600-4105

## Contact information

- **Practice address:** 13300 OLD BLANCO RD STE 340, SAN ANTONIO, TX 78216-7737
- **Practice address phone:** (210) 600-4105
- **Mailing address:** 13300 OLD BLANCO RD STE 340, SAN ANTONIO, TX 78216-7737
- **Mailing address phone:** (210) 600-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L1817 | TX | — |
| 363LF0000X | Family Nurse Practitioner | AP107832 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP107832 | TX | — |
| 363LP2300X | Primary Care Nurse Practitioner | AP107832 | TX | Yes |

## Other

- **Enumeration date:** 06/20/2018
- **Last updated:** 04/01/2024