Organization
INTEGRATED MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY HOLUBEC DO (OWNER)
(972) 234-4740
Entity
Organization
Contact information
Practice address
4110 FM 407, SUITE 200, LEWISVILLE, TX 75077-7269
(940) 455-2336
(940) 455-7359
Mailing address
4110 FM 407, SUITE 200, LEWISVILLE, TX 75077-7269
(940) 455-2336
(940) 455-7359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E20221
TX
Other
Enumeration date
06/13/2013
Last updated
12/02/2013
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