Photon Imaging, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PHOTON IMAGING, PLLC

Practice address

515 W 12TH St
Texarkana, TX 75501-4416

Phone

(903) 735-5000

NPI assigned

Oct 23, 2020

Last updated

Nov 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John C Campbell, MD

Title

Vice President

Phone

(903) 736-3179

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toni Denise Brown

  • Medical Physician Assistant
  • Texarkana, TX
  • NPI 1558496067
  NPD

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1225637820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20148 FM 449",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057731",
            "telephone_number": "903-736-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 12TH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014416",
            "telephone_number": "903-735-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOTON IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "903-736-3179",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hung Pham
• Tri Duc Pham, RPH
• Brittany Phelps
• Phillips Vision LLC (Texarkana Eye Association)
• Jeffrey Scott Phillips, OD
• Jason T Pickelman, MD
• Ann Pickett, LPC
• Linh Pilkington-Ho
• Piney Woods ER III LLC (Excel ER)
• Joshua Trenton Pinkham, APRN

• Diagnostic Radiology Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.