Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Texas Functional Medicine Center, LLC

Organization Internal Medicine Physician · NPI 1245847672

East Texas Functional Medicine Center, LLC is an Internal Medicine Physician in Tyler, Texas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

419 Wsw Loop 323 Ste 400
Tyler, TX 75701-7063
Phone: (903) 595-8077
Fax: (903) 363-1541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1245847672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guy Danielson — Md/Owner · (903) 595-8077
Other names Integrative Health Matters; Integrative Health Matters
NPI enumeratedSeptember 29, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063

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