Active NPI
Joseph J Soulamon, LMT
- Specialist
- Houston, TX
National Provider Identifier
1720381841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT106565
- Practice address
- 15015 Westheimer Pkwy
Suite K
Houston, TX 77082-1676 - Phone
- (713) 826-1174
- NPI assigned
- Dec 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT106565 | TX | Primary |
Addresses
Primary practice location
15015 Westheimer Pkwy
Suite K
Houston, TX 77082-1676
Mailing address
6526 Dogwood Park LN
Katy, TX 77449-6757
Phone (713) 826-1174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT106565 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292025600000",
"number": "1720381841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6526 DOGWOOD PARK LN",
"city": "KATY",
"state": "TX",
"postal_code": "774496757",
"telephone_number": "713-826-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15015 WESTHEIMER PKWY",
"address_2": "SUITE K",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770821676",
"telephone_number": "713-826-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULAMON",
"first_name": "JOSEPH",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-11",
"last_updated": "2010-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "MT106565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.