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

Integrated Medical Practice

Organization Specialist · NPI 1639517410

Integrated Medical Practice is a Specialist in Lewisville, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013

Practice location Address checks out

4110 Fm 407 Ste 200
Lewisville, TX 75077-7269
Phone: (940) 455-2336
Fax: (940) 455-7359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence E20221 (TX)

Record details

NPI number1639517410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Holubec — Owner · (972) 234-4740
NPI enumeratedJune 13, 2013
Last updated in NPPESDecember 2, 2013
Mailing address4110 Fm 407, Suite 200, Lewisville, TX 75077-7269

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