Nerve Con LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

NERVE CON LLC

Practice address

3526 Lakeview Pkwy # B258
Rowlett, TX 75088-4176

Phone

(972) 412-5299

NPI assigned

May 2, 2020

Organization subpart

No

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

Authorized official

Name

L M Patridge

Title

Employee

Phone

(972) 412-5299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1740801612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 LAKEVIEW PKWY # B258",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 LAKEVIEW PKWY # B258",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884176",
            "telephone_number": "972-412-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVE CON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "PATRIDGE",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "972-412-5299"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.