360 Health Integrated Medical Boutique, PLLC
NPI 1730728403ActiveOrganization· Nurse Practitioner, Family· Arlington, TX
Nurse Practitioner, Family in Arlington, Texas, registered in NPPES in December 2019. The authorized official on file is Tracy Julien, FNP-C, Family Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730728403 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2019 |
| Last updated in NPPES | Feb 17, 2025 |
| Certified by provider | Feb 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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