Active NPI
Trinity Iom, PA
- Clinical Neurophysiology Physician
- Crosby, TX
National Provider Identifier
1346585718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- TRINITY IOM, PA
- Practice address
- 18302 Noyce Rd
Crosby, TX 77532-7807 - Phone
- (281) 346-3480
- Fax
- (832) 581-4677
- NPI assigned
- Dec 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Kropholler
- Title
- Director
- Phone
- (254) 221-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | Primary |
Addresses
Primary practice location
18302 Noyce Rd
Crosby, TX 77532-7807
Mailing address
PO Box 204166
Dallas, TX 75320-4166
Phone (281) 346-3480
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1346585718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204166",
"city": "DALLAS",
"state": "TX",
"postal_code": "753204166",
"telephone_number": "281-346-3480",
"fax_number": "832-581-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18302 NOYCE RD",
"city": "CROSBY",
"state": "TX",
"postal_code": "775327807",
"telephone_number": "281-346-3480",
"fax_number": "832-581-4677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY IOM, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-11",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "KROPHOLLER",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "254-221-2900"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crosby, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.