Vigilant Imaging and Pain Suites, PA

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

M8869 Issued in TX

Legal business name

VIGILANT IMAGING AND PAIN SUITES, PA

Practice address

8865 Davis Blvd
Suite 100a
Keller, TX 76248-0322

Phone

(832) 969-2784

Fax

(469) 250-4880

NPI assigned

Apr 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reginald James Newsome, MD

Title

Ceo

Phone

(832) 969-2784

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1124551759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTON ST",
            "address_2": "SUITE 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015923",
            "telephone_number": "832-969-2784",
            "fax_number": "469-250-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 DAVIS BLVD",
            "address_2": "SUITE 100A",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480322",
            "telephone_number": "832-969-2784",
            "fax_number": "469-250-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANT IMAGING AND PAIN SUITES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-969-2784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "M8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda J Vernon
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• David Vick, LPC
• Julie Villafuerte, LPC-ASSOCIATE
• Daniela Alexis Villar, BS, RBT
• Lydia Grace Vinar, MMFT, LPC-A
• Joy Vincent Minshew, M.S., LMFT-A
• Vine Family Medicine PLLC

• Radiology Clinic/Center in Keller, TX
• Providers in Keller, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.