J&L Reliance Management Inc

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

6779 Issued in TX

Legal business name

J&L RELIANCE MANAGEMENT INC

Practice address

3403 Spencer Hwy
A
Pasadena, TX 77504-1107

Phone

(281) 842-1338

Fax

(281) 842-1794

NPI assigned

Mar 17, 2008

Organization subpart

Yes

Parent organization

J&L RELIANCE MANAGEMENT INCAs reported in NPPES

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

Authorized official

Name

John E Slaughter, DC

Title

Owner

Phone

(281) 842-1338

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHYSICIANS DIAGNOSTIC SERVICES Doing business as

Part of

JL Reliance Management Inc

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1962673020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775720937",
            "telephone_number": "281-842-1338",
            "fax_number": "281-842-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 SPENCER HWY",
            "address_2": "A",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041107",
            "telephone_number": "281-842-1338",
            "fax_number": "281-842-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&L RELIANCE MANAGEMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J&L RELIANCE MANAGEMENT INC",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-842-1338",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "6779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0097QH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS DIAGNOSTIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.