Traumatic Brain Injury Institute, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRAUMATIC BRAIN INJURY INSTITUTE, PLLC

Doing business as

Head Injury Center, PLLC

Practice address

4400 State Highway 121 Ste 409
Lewisville, TX 75056-4561

Phone

(469) 459-9806

Fax

(469) 901-7115

NPI assigned

Dec 23, 2021

Last updated

Sep 6, 2023By 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

Lynn Reece

Title

Operations

Phone

(850) 449-2290

Specialties & licenses 1

Addresses

Other names 1

• Head Injury Center, PLLC Doing business as

Locations

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1588324073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 STATE HIGHWAY 121 STE 409",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564561",
            "telephone_number": "469-459-9806",
            "fax_number": "469-901-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STATE HIGHWAY 121 STE 409",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564561",
            "telephone_number": "469-459-9806",
            "fax_number": "469-901-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 E Missouri Ave Ste C102A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142458",
            "country_code": "US",
            "telephone_number": "469-459-9806",
            "fax_number": "469-901-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAUMATIC BRAIN INJURY INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "850-449-2290"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Head Injury Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Head Injury Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.