TONYA LANNETTE JACK (NPI# 1902455330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902455330 |
Entity Type | Individual |
Full Name | TONYA LANNETTE JACK |
Other Name | TONYA LANNETTE MASON |
Practice Address |
2000 E Lamar Blvd Ste 608 Arlington TX 76006-7346 |
Mailing Address |
11900 N Macarthur Blvd Ste E2 Oklahoma City OK 73162-1859 |
Practice Telephone | 4052861016 |
Practice Fax Number | 4052421016 |
Mailing Telephone | 4054652086 |
Mailing Fax Number | 4052421016 |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 1255736724 | 05 | |
MO | 1376923367 | 05 | |
CO | 1265803829 | 05 |
Street Address |
2000 E LAMAR BLVD STE 608 |
City | ARLINGTON |
State | TX |
Zip Code | 76006-7346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851940209 | Neurodiagnostics Services Southwest | Specialist/Technologist, Other | 2000 E Lamar Blvd Ste 608, Arlington, TX 76006-7346 | 2019-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
1184288169 | Door of Hope Counseling & Education | Counselor | 1201 North Watson Road, Suite 177, Arlington, TX 76006 | 2019-04-25 |
1851890081 | National Logistics LLC | Non-emergency Medical Transport (VAN) | 2715 Golden Creek Lane, Arlington, TX 76006 | 2018-02-02 |
1700396033 | Katrina Blakely | Registered Nurse | 2533 Thomason Circle Apt 170, Arlington, TX 76006 | 2017-09-29 |
1033635636 | Genxmed LLC | Durable Medical Equipment & Medical Supplies | 2221 E Lamar, Suite 900, Arlington, TX 76006 | 2017-08-16 |
1225558521 | Jessica Joanne Salas-figueroa | Specialist/Technologist | 36 Los Robles St, Arlington, TX 76006 | 2017-06-27 |
1851771372 | Donald Thomas Jr. | Pharmacist | 1221 Corporate Dr, Arlington, TX 76006 | 2015-06-01 |
1083093074 | Jerry Moore | Pharmacist | 1221 Corporate Drive East, Arlington, TX 76006 | 2015-05-22 |
1104212794 | Aac Dallas Outpatient Center, LLC | Clinic/Center | 2301 Avenue J, Arlington, TX 76006 | 2015-04-09 |
1982094785 | Mathias Ngwa | Psychologist | 1201 N Watson Rd Ste 228, Arlington, TX 76006 | 2015-01-31 |
Find all providers in zip 76006 |
Taxonomy Code | 246ZE0500X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | EEG |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073936993 | Dariush Alirezaieyan | Specialist/Technologist, Other | 6601 Johns Crt, Arlington, TX 76016 | 2014-01-29 |
1851940209 | Neurodiagnostics Services Southwest | Specialist/Technologist, Other | 2000 E Lamar Blvd Ste 608, Arlington, TX 76006-7346 | 2019-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831724798 | Optimum Iom Tech, LLC | Specialist/Technologist, Other | 3526 Lakeview Pkwy # B132, Rowlett, TX 75088-4176 | 2020-03-10 |
1386287159 | Pulse Diagnostic Services,llc | Specialist/Technologist, Other | 17434 Red Oak Dr, Houston, TX 77090-1246 | 2019-10-23 |
1588122436 | Katrina Reichardt | Specialist/Technologist, Other | 3308 Ella Blvd Ste L, Houston, TX 77018-7336 | 2019-03-11 |
1578033254 | Nibu Jacob Malaickal | Specialist/Technologist, Other | 304 S Coppell Rd, Coppell, TX 75019-2417 | 2018-11-26 |
1750867123 | Icon Neuromonitoring, LLC | Specialist/Technologist, Other | 23742 Ardmore Cove Dr, Spring, TX 77386-4255 | 2018-07-18 |
1720571854 | Poly-rhythms | Specialist/Technologist, Other | 2531 Copper Fields Dr, Rosharon, TX 77583-3273 | 2018-06-13 |
1629584552 | Amb Eeg LLC | Specialist/Technologist, Other | 1100 Glade Rd Ste 2, Colleyville, TX 76034-4227 | 2017-12-14 |
1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
1972015089 | Caroline Cowles Collins | Specialist/Technologist, Other | 25 Highland Park Vlg # 100-225, Dallas, TX 75205-2789 | 2017-10-30 |
1306363114 | Celeste Ann Parker | Specialist/Technologist, Other | 70 Mission Dr, New Braunfels, TX 78130-6659 | 2017-08-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.