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NPI Code Detail

MEDICARE: MR. BRIAN LAWSON RVS

MEDICARE: MR. BRIAN LAWSON RVS
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
1246XS1301XSonography Specialist/Technologist Cardiovascular00061785TX

General Provider Information

NPI Number : 1538625306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN LAWSON RVS
Provider Business Mailing Address
First Line : 5508 VALLEY OAK DR
Second Line :
City : EL PASO
State : TX
Zip : 79932-4404
Country : US
Telephone Number : 915-540-1357
Fax Number :
Provider Business Practice Location Address
First Line : 5508 VALLEY OAK DR
Second Line :
City : EL PASO
State : TX
Zip : 79932-4404
Country : US
Telephone Number : 915-540-1357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2019
Last Update Date : 04/23/2024

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