Organization
INTEGRATIVE MEDICAL GROUP OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID CARLSON DC (OWNER)
(512) 447-9093
Entity
Organization
Contact information
Practice address
6905 WEST GATE BLVD. STE A, AUSTIN, TX 78745
(512) 447-9093
Mailing address
6905 WEST GATE BLVD. STE A, AUSTIN, TX 78745
(512) 447-9093
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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