East Texas Functional Medicine Center, LLC
NPI 1245847672 · Public Health & General Preventive Medicine Physician · Tyler, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Texas Functional Medicine Center, LLC is a Public Health & General Preventive Medicine Physician organization in Tyler, TX (NPI 1245847672).
Provider details
- NPI number
- 1245847672
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Guy Danielson, Md/Owner(903) 595-8077
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Integrative Health Matters
- Doing business as
- Integrative Health Matters
Registry dates
- Enumerated
- 2020-09-29
- Last updated
- 2020-12-07
- Certified
- 2020-12-07
Frequently asked questions
- What is East Texas Functional Medicine Center, LLC's NPI number?
- East Texas Functional Medicine Center, LLC's National Provider Identifier (NPI) is 1245847672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Functional Medicine Center, LLC?
- East Texas Functional Medicine Center, LLC is classified in the NPPES registry as Public Health & General Preventive Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is East Texas Functional Medicine Center, LLC located?
- East Texas Functional Medicine Center, LLC's practice location on file with NPPES is 419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063.
- What is East Texas Functional Medicine Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for East Texas Functional Medicine Center, LLC is (903) 595-8077.
- Does East Texas Functional Medicine Center, LLC accept Medicare?
- East Texas Functional Medicine Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Texas Functional Medicine Center, LLC?
- The authorized official listed on East Texas Functional Medicine Center, LLC's NPPES record is Guy Danielson, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Functional Medicine Center, LLC's NPI active?
- Yes — East Texas Functional Medicine Center, LLC's NPI (1245847672) is active in the NPPES registry as of the last update on 2020-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.