Envision Diagnostics Management, LLC

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

ENVISION DIAGNOSTICS MANAGEMENT, LLC

Practice address

12835 Preston Rd Ste 405
Dallas, TX 75230-1294

Phone

(214) 803-6760

Fax

(972) 392-4478

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Dale Warren, DC

Title

Authorized Official

Phone

(316) 882-5353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497284970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 PRESTON RD STE 405",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301294",
            "telephone_number": "214-803-6760",
            "fax_number": "972-392-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 PRESTON RD STE 405",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301294",
            "telephone_number": "214-803-6760",
            "fax_number": "972-392-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION DIAGNOSTICS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "316-882-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.