Crystal Vue Medical Billing Solutions LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CRYSTAL VUE MEDICAL BILLING SOLUTIONS LLC

Practice address

4099 McEwen Rd Ste 550
Farmers Branch, TX 75244

Phone

(214) 272-9066

Fax

(888) 206-1272

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Tonya Gilliam

Title

VP Billing and Coding

Phone

(972) 632-6877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1346712882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 550",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752445353",
            "telephone_number": "214-272-9066",
            "fax_number": "888-206-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 550",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "214-272-9066",
            "fax_number": "888-206-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3004 Francesca Dr",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750988928",
            "country_code": "US",
            "telephone_number": "972-632-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRYSTAL VUE MEDICAL BILLING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "VP BILLING AND CODING",
        "authorized_official_telephone_number": "972-632-6877"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 May 15, 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.