# DALLAS INTEGRATED MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1619373719
- **Authorized official:** NATHANIEL P. TURLEY (CEO)
- **Authorized official phone:** (469) 941-4154

## Contact information

- **Practice address:** 2351 W NORTHWEST HWY, SUITE \# 3355, DALLAS, TX 75220-4433
- **Practice address phone:** (469) 941-4154
- **Practice address fax:** (469) 941-4149
- **Mailing address:** 2351 W NORTHWEST HWY, SUITE \# 3355, DALLAS, TX 75220-4433
- **Mailing address phone:** (469) 941-4154
- **Mailing address fax:** (469) 941-4149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/17/2014