OrganizationActive
360 Health Integrated Medical Boutique, PLLC
NPI 1730728403 · Family Nurse Practitioner · Arlington, TX
Provider details
- NPI number
- 1730728403
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Tracy Julien, Family Nurse Practitioner
Practice location
1190 W Pioneer Pkwy
Arlington, TX 76013-6367
Phone: (682) 276-6595
Fax: (817) 583-6543
Mailing address
1190 W Pioneer Pkwy
Arlington, TX 76013-6367
Registry dates
- Enumerated
- 2019-12-30
- Last updated
- 2025-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.