International Medical Management, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

INTERNATIONAL MEDICAL MANAGEMENT, LLC

Practice address

2716 County Road 804a
Burleson, TX 76028-1950

Phone

(817) 800-5630

Fax

(817) 447-9958

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By 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

Dr. Jason P Moses, DPT

Title

Vice President

Phone

(817) 800-5630

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1326337411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 COUNTY ROAD 804A",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281950",
            "telephone_number": "817-800-5630",
            "fax_number": "817-447-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 COUNTY ROAD 804A",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281950",
            "telephone_number": "817-800-5630",
            "fax_number": "817-447-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-800-5630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME OFFICE NUMBER",
            "identifier": "8174478426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Burleson, TX
• Providers in Burleson, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.