# ALPHA LIFE INTEGRATED MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1679089783
- **Authorized official:** DR. TIMOTHY DALE WARREN DC (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (316) 882-5353

## Contact information

- **Practice address:** 600 E JOHN CARPENTER FWY STE 354, IRVING, TX 75062-3990
- **Practice address phone:** (214) 888-2171
- **Mailing address:** 600 E JOHN CARPENTER FWY STE 354, IRVING, TX 75062-3990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2017
- **Last updated:** 02/07/2018