MEDICARE: IOM SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2472E0500X	EEG Technician
2	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1518402254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IOM SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	7918 WESTINGTON LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-6148
Country	:	US
Telephone Number	:	832-420-3433
Fax Number	:

Provider Business Practice Location Address
First Line	:	7918 WESTINGTON LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-6148
Country	:	US
Telephone Number	:	832-420-3433
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. JOSE SOTO
Credential	:
Telephone Number	:	832-420-3433

Provider Enumeration Date	:	01/05/2017
Last Update Date	:	01/05/2017

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Directions to “IOM SOLUTIONS, LLC ” Practice Location

Language	Start Address	Practice Location

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