Organization
INTEGRATIVE CONCEPTS OF MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKLOS MAJORS NP (PRESIDENT)
(214) 475-4924
Entity
Organization
Contact information
Practice address
3330 EARHART DR, STE 206, CARROLLTON, TX 75006-4919
(972) 990-9951
Mailing address
PO BOX 580, ADDISON, TX 75001-0580
(972) 991-9950
(972) 991-4026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
675206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049NN
BCBS GROUP NUMBER
TX
05
—
179969401
—
TX
Enumeration date
09/14/2007
Last updated
10/06/2008
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