An integrated wellhead assembly is provided to enable free flow production and artificial lift production from a well without requiring removal and/or reconfiguration of the wellhead assembly. The wellhead assembly includes an upper portion and a lower portion forming an integrated assembly. The upper portion includes a flow tee and at least one set of rams. The lower portion includes a shoulder to receive a hanger. The upper portion may seal the bore of the wellhead assembly and provide full bore access to the bore of the wellhead assembly.