Organization
TEXAS IONM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE LAWSON (COO/MANAGER)
(813) 549-2134
Entity
Organization
Contact information
Practice address
4726 N HABANA AVE STE 100, TAMPA, FL 33614-7144
(813) 549-2134
Mailing address
504 N REO ST, TAMPA, FL 33609-1013
(813) 549-2134
(813) 569-1759
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
02/28/2019
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