Healthcare Provider Details

I. General information

NPI: 1629930359
Provider Name (Legal Business Name): PROJECT MONITOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19240 REDLAND RD
SAN ANTONIO TX
78259-3340
US

IV. Provider business mailing address

4516 LOVERS LN # 392
DALLAS TX
75225-6925
US

V. Phone/Fax

Practice location:
  • Phone: 972-885-0188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State

VIII. Authorized Official

Name: KEVIN LAVELLE
Title or Position: CEO
Credential:
Phone: 972-885-0188