Organization
TEXAS INTEGRATED HEALTHCARE PLLC
Active
Other names
Central Mind and Medical Center, Temple IV Drip
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN OMOMEN APRN, AGPCNP, PMHNP (NURSE PRACTITIONER)
(254) 624-2735
Entity
Organization
Contact information
Practice address
1005 MARLANDWOOD RD STE 116, TEMPLE, TX 76502-3339
(254) 624-2735
Mailing address
1005 MARLANDWOOD RD STE 116, TEMPLE, TX 76502-3339
(254) 624-2735
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
01
TX
Enumeration date
06/05/2021
Last updated
01/11/2024
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