My Iom Co, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MY IOM CO, LLC

Practice address

803 Spring Source PL
Spring, TX 77373-7077

Phone

(855) 694-6626

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Purdon, LVN, CNIM

Title

Principal

Phone

(855) 694-6626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1316291354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SPRING SOURCE PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SPRING SOURCE PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737077",
            "telephone_number": "855-694-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY IOM CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "PURDON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "855-694-6626",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN, CNIM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Spring, TX
• Providers in Spring, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.