Organization Active NPI

Bryant Irvin Neurotech, PA

  • Surgical Technologist
  • Dallas, TX
National Provider Identifier
1295967651
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
BRYANT IRVIN NEUROTECH, PA
Practice address
8409 Pickwick LN # 175
Dallas, TX 75225-5323
Phone
(214) 675-0905
Fax
(214) 317-4888
NPI assigned
Aug 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Trase Mahan
Title
Manager
Phone
(214) 675-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

8409 Pickwick LN # 175
Dallas, TX 75225-5323

Mailing address

PO Box 269092
Oklahoma City, OK 73126-9092
Phone (214) 675-0905

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1295967651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269092",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269092",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 PICKWICK LN # 175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255323",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT IRVIN NEUROTECH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "TRASE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-675-0905"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.