EAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC is a public health and general preventive medicine preventive medicine in Tyler, TX. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. EAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC NPI is 1245847672. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Integrative Health Matters.
The provider's business location address is:
419 WSW LOOP 323 STE 400
TYLER, TX
ZIP 75701-063
Phone: (903) 595-8077
Fax: (903) 363-1541
The provider's authorized official is Guy Otis Danielson .
The authorized official title is Md/owner and has the following contact phone number (903) 595-8077.
The CLIA number assigned to this NPI record is 45D2174553 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/29/2020 and was last updated on 12/7/2020.