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

Modern Med Integrative Health

Organization Neurology Physician · NPI 1689494056

Modern Med Integrative Health is a Neurology Physician in Southlake, Texas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

281 W Southlake Blvd
Southlake, TX 76092-7052
Phone: (469) 200-4093
Fax: (469) 200-4079
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1689494056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nazimuddin Mohammed — Owner · (469) 200-4093
Other names Modern Med Integrative Health
NPI enumeratedOctober 11, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing address281 W Southlake Blvd, Southlake, TX 76092-7052

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