Organization Active NPI

Slarod

  • Medical Specialty Clinic/Center
  • Coppell, TX
National Provider Identifier
1922353358
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M0969 Issued in TX
Legal business name
SLAROD
Practice address
546 E Sandy Lake Rd
100
Coppell, TX 75019-5786
Phone
(214) 462-7887
NPI assigned
Jul 23, 2012
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Dr. Jason A Williams, MD
Title
Owner
Phone
(214) 462-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X M0969 TX Primary

Addresses

Primary practice location

546 E Sandy Lake Rd
100
Coppell, TX 75019-5786

Mailing address

1365 FM 740 S
Forney, TX 75126-5342

National Provider Directory

National Provider Directory

Locations

546 E Sandy Lake Rd
#100
Coppell, TX 75019
Phone (214) 390-3202

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1922353358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 FM 740 S",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD",
            "address_2": "100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195786",
            "telephone_number": "214-462-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAROD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-462-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M0969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.