Organization
INTEGRATED MEDICAL PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HOLUBEC DO (PRESIDENT)
(972) 479-1115
Entity
Organization
Contact information
Practice address
2710 N JOSEY LN, SUITE 301, CARROLLTON, TX 75007-5400
(214) 483-3550
Mailing address
PO BOX 269083, OKLAHOMA CITY, OK 73126-9083
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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