Texas Ionm PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

TEXAS IONM PLLC

Practice address

4726 N Habana Ave Ste 100
Tampa, FL 33614-7144

Phone

(813) 549-2134

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Tracie Lawson

Title

Coo/Manager

Phone

(813) 549-2134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1275062804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-549-2134",
            "fax_number": "813-569-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 N HABANA AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147144",
            "telephone_number": "813-549-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS IONM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "COO/MANAGER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.