Active NPI
Tle Healthcare LLC
- Electroneurodiagnostic Specialist/Technologist
- Corinth, TX
National Provider Identifier
1467988923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- TLE HEALTHCARE LLC
- Practice address
- 3400 Burrwood Cir
Corinth, TX 76208-5440 - Phone
- (214) 912-2256
- Fax
- (800) 942-1772
- NPI assigned
- May 3, 2017
- 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
- Mr. John P Kellogg Sr.
- Title
- Managing Member
- Phone
- (214) 912-2256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
3400 Burrwood Cir
Corinth, TX 76208-5440
Mailing address
PO Box 1598
Lake Dallas, TX 75065-1598
Phone (214) 912-2256
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493856000000",
"number": "1467988923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1598",
"city": "LAKE DALLAS",
"state": "TX",
"postal_code": "750651598",
"telephone_number": "214-912-2256",
"fax_number": "800-942-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BURRWOOD CIR",
"city": "CORINTH",
"state": "TX",
"postal_code": "762085440",
"telephone_number": "214-912-2256",
"fax_number": "800-942-1772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-04",
"status": "A",
"authorized_official_last_name": "KELLOGG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "214-912-2256",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.