Active NPI
Rocket Iom, PLLC
- Electrodiagnostic Medicine Physician
- Rowlett, TX
National Provider Identifier
1699314922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electrodiagnostic Medicine Physician
- Legal business name
- ROCKET IOM, PLLC
- Practice address
- 3526 Lakeview Pkwy Ste B230
Rowlett, TX 75088-4176 - Phone
- (972) 412-5299
- Fax
- (469) 453-3374
- NPI assigned
- Jan 3, 2020
- 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
- Jeremy Wang, MD
- Title
- Sole Member
- Phone
- (281) 333-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | Primary |
Addresses
Primary practice location
3526 Lakeview Pkwy Ste B230
Rowlett, TX 75088-4176
Mailing address
3526 Lakeview Pkwy Ste B230
Rowlett, TX 75088-4176
Phone (972) 412-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M2187 | Other | TX | MEDICAL LIC |
National Provider Directory
National Provider DirectoryLocations
3526 Lakeview Pkwy
Ste B230
Rowlett, TX 75088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578009600000",
"number": "1699314922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 LAKEVIEW PKWY STE B230",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884176",
"telephone_number": "972-412-5299",
"fax_number": "469-453-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 LAKEVIEW PKWY STE B230",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884176",
"telephone_number": "972-412-5299",
"fax_number": "469-453-3374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKET IOM, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-03",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "281-333-1300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC",
"identifier": "M2187",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.