Integrative Medical of Dfw LLC
NPI 1760010201ActiveOrganization· Family Medicine· Coppell, TX
Family Medicine in Coppell, Texas, registered in NPPES in March 2020. The authorized official on file is Derek Frye, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760010201 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2020 |
| Last updated in NPPES | Feb 26, 2026 |
| Certified by provider | Jul 8, 2022 |
| Reactivated | Feb 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
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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