CORPORATE-INDUSTRY MEDICAL GROUP (NPI# 1174731517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174731517 |
| Entity Type | Organization |
| Organization Name | CORPORATE-INDUSTRY MEDICAL GROUP |
| Practice Address |
4425 W Airport Fwy Suite 305 Irving TX 75062-5832 |
| Practice Telephone | 9725708200 |
| Practice Fax Number | 9725708933 |
| Mailing Telephone | 9725708200 |
| Mailing Fax Number | 9725708933 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | MR. GEORGE F HEATH (CEO) |
| Authorized Official Telephone | 9725708200 |
| Authorized Official Credential | CLU |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
4425 W AIRPORT FWY SUITE 305 |
| City | IRVING |
| State | TX |
| Zip Code | 75062-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245275825 | Carol S Lieser | Nurse Practitioner | 4425 W Airport Fwy, Ste 244, Irving, TX 75062-5832 | 2006-06-18 |
| 1609340421 | Aletha R Mathis | Social Worker | 4425 W Airport Fwy, Ste 149, Irving, TX 75062-5850 | 2019-01-15 |
| 1972043669 | Carol Lieser Pmhnp Pllc | Nurse Practitioner | 4425 W Airport Fwy, Ste 244, Irving, TX 75062 | 2017-03-01 |
| 1447615695 | Patricia Gobin | Counselor | 4425 W Airport Fwy, Suite 400, Irving, TX 75062-5832 | 2015-12-15 |
| 1679948913 | Bair Foundation | Foster Care Agency | 4425 W Airport Fwy, Suite 400, Irving, TX 75062-5832 | 2015-12-12 |
| 1114330701 | The Institute for Clinical Neursocience, Pllc | Psychologist | 4425 W Airport Fwy, Suite 250, Irving, TX 75062-5832 | 2014-06-11 |
| 1730427238 | Zaire Smith | Social Worker | 4425 W Airport Fwy, Irving, TX 75062-5832 | 2013-01-18 |
| 1962746883 | Ladonna Michelle Turner | Social Worker | 4425 W Airport Fwy, Ste 122, Irving, TX 75062-5817 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370184 | Professional Exam Services Inc. | Clinical Neuropsychologist | 2233 E Grauwyler Rd Ste 107, Irving, TX 75061-3239 | 2018-09-21 |
| 1841458254 | Cognitive Neuroscience Services | Clinical Neuropsychologist | 222 W Las Colinas Blvd, Suite 1650, Irving, TX 75039 | 2008-06-02 |
| 1497701916 | Richard S Cowles | Clinical Neuropsychologist | 222 Las Colinas Blvd W, Suite 1650, Irving, TX 75039-5421 | 2006-05-26 |
| 1235549650 | Renjan Roy Mathew | Clinical Neuropsychologist | 600 E John Carpenter Fwy, Ste 291, Irving, TX 75062 | 2014-05-07 |
| 1922448307 | Dallas Neurorehab Center, Pllc | Clinical Neuropsychologist | 320 Decker Dr, Suite 100, Irving, TX 75062-3937 | 2013-06-28 |
| 1003967993 | Gordon Chenoweth Sauer Jr. | Clinical Neuropsychologist | 3200 N Macarthur Blvd, Suite 101, Irving, TX 75062-4453 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375487 | Tara Austin | Clinical Neuropsychologist | 4900 Bagby Ave Apt 819, Waco, TX 76711-0035 | 2020-08-05 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1992330864 | Annelizabeth Robinson Carlew | Clinical Neuropsychologist | 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 | 2020-03-11 |
| 1710511753 | Gulf Coast Neuropsychology, Pllc | Clinical Neuropsychologist | 1110 Nasa Pkwy Ste 108c, Houston, TX 77058-3351 | 2020-02-28 |
| 1356988372 | Jennifer Reynolds | Clinical Neuropsychologist | 8005 Canyon Parke Ct, Austin, TX 78726-4029 | 2019-12-09 |
| 1649835216 | Kaleidoscope Counseling and Assessment | Clinical Neuropsychologist | 1705 S Capital of Texas Hwy Ste 130, Austin, TX 78746-6587 | 2019-05-08 |
| 1104392067 | Neuropsychological Services of Texarkana Pllc | Clinical Neuropsychologist | 5411 Plaza Dr Ste E, Texarkana, TX 75503-1667 | 2018-10-18 |
| 1255815072 | Seema Pandya | Clinical Neuropsychologist | 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 | 2018-09-18 |
| 1972097145 | Juliette Galindo | Clinical Neuropsychologist | 1333 Moursund Ave, Psychology/neuropsychology H124, Houston, TX 77030-3405 | 2018-06-20 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| Find all providers with the same taxonomy | ||||
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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.