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Active NPI 1689049967 Individual Practitioner Male Practitioner

William Justin Clossman , CNIM, REPT

Specialist/Technologist, Other - Electroneurodiagnostic • Richardson, TX

Professional Overview & Biography Verified Profile Summary

William Clossman, CNIM, REPT is a registered healthcare professional specializing in Specialist/Technologist, Other - Electroneurodiagnostic in Richardson, TX. Practice services are available at 1819 JAY ELL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1819 Jay Ell Dr

Richardson, TX 750811837

Telephone 8883442947
Fax 8886942947
Associated Practice Facility / Clinic
🏢 Axis Neuromonitoring Facility NPI 1093013310

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other - Electroneurodiagnostic in Richardson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Richardson, TX (927 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist, Other - Electroneurodiagnostic Primary Specialty

NUCC Taxonomy Code: 246ZE0600X

State License TX 3693

Definition to come...

Specialist/Technologist, Other - Electroneurodiagnostic

NUCC Taxonomy Code: 246ZE0600X

State License TX 1444

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jamie Pearson , BS, MS, CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1003200544

Bachelor of Science, Master of Science, CNIM

Faisal Jahangiri , CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1023426889
Edili Quinones Ortiz , CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1053111567
Dyanne Welch , CNIM, REPT

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1063962041
Rudy Garza , REPT

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1083033450
Kathryn Overzet , CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1124307699

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 04, 2019

Registered at 1819 JAY ELL DR, RICHARDSON, TX 750811837 (Tel: 8883442947)

📍
Updated Business Mailing Address September 04, 2019

Registered at 1819 JAY ELL DR, RICHARDSON, TX 750811837 (Tel: 8883442947)

👤
Provider Name / Credentials Updated September 04, 2019

Recorded as WILLIAM CLOSSMAN, CNIM, REPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2019

Specialist/Technologist, Other (License #3693 in TX)

NPI Profile Active December 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2015

Registered at 1141 N LOOP 1604 E STE 105-446, SAN ANTONIO, TX 782321339 (Tel: 2105982800)

📍
Updated Business Mailing Address December 11, 2015

Registered at 1141 N LOOP 1604 E STE 105-446, SAN ANTONIO, TX 782321339 (Tel: 2105982800)

👤
Provider Name / Credentials Updated December 11, 2015

Recorded as JUSTIN CLOSSMAN, CNIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2015

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration December 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689049967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2015
Last Update: September 04, 2019
Sole Proprietor: Yes

Mailing Address

1819 Jay Ell Dr

Richardson, TX 750811837

Phone: 8883442947

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.