NPIMap

Organization Active NPI

Medpro Tox

  • Clinical Medical Laboratory
  • Lewisville, TX
National Provider Identifier
1902274616
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDPRO TOX
Practice address
500 N Valley Pkwy Ste 111
Lewisville, TX 75067-3479
Phone
(468) 322-9291
Fax
(469) 547-0691
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Dr. Erwin Cruz, MD
Title
Managing Partner
Phone
(469) 322-9291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

500 N Valley Pkwy Ste 111
Lewisville, TX 75067-3479

Mailing address

500 N Valley Pkwy Ste 111
Lewisville, TX 75067
Phone (468) 322-9291

National Provider Directory

National Provider Directory
Tax ID family
Medpro Tox2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1902274616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N VALLEY PKWY STE 111",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "468-322-9291",
            "fax_number": "469-547-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N VALLEY PKWY STE 111",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673479",
            "telephone_number": "468-322-9291",
            "fax_number": "469-547-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO TOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "469-322-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.