Organization
ADVANCED INTEGRATED MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALY KHYM BUENTIPO ZARZUELA D.O. (OWNER / PROVIDER)
(210) 599-9570
Entity
Organization
Contact information
Practice address
11465A TOEPPERWEIN RD, LIVE OAK, TX 78233-3138
(210) 599-9570
(210) 599-9572
Mailing address
11465A TOEPPERWEIN RD, LIVE OAK, TX 78233-3138
(210) 599-9570
(210) 599-9572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
01/29/2016
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