Integrative Health Matters

LBN: East Texas Functional Medicine Center, Llc
Integrative Health Matters is an health care organization with primary practice located at 419 Wsw Loop 323 Ste 400 , Tyler TX 75701-7063. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is the primary health care specialty. East Texas Functional Medicine Center, Llc can be contacted via phone (903) 595-8077, or through Danielson, Guy Otis via phone (903) 595-8077.

Contact Information

Primary practice address
419 Wsw Loop 323 Ste 400 Tyler TX 75701-7063
Phone: (903) 595-8077
Fax: (903) 363-1541
Website:
Map and Directions
Authorized official contact:
Name: Danielson, Guy Otis Doctor of Medicine (MD)
Phone: (903) 595-8077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X

Profile Details

NPI number 1245847672
LBN Legal business name East Texas Functional Medicine Center, Llc
DBA Doing business as Integrative Health Matters
Authorized official Danielson, Guy Otis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2020
Last updated Dec 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245847672 NPPES
Texas Other 1801905674 DR. DANIELSON'S NPI NUMBER

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