Provider Demographics
NPI:1770331019
Name:IHS-IOM VENTURES
Entity type:Organization
Organization Name:IHS-IOM VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOWEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-696-4359
Mailing Address - Street 1:14643 DALLAS PKWY # 1050
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7410
Mailing Address - Country:US
Mailing Address - Phone:469-273-0152
Mailing Address - Fax:
Practice Address - Street 1:14643 DALLAS PKWY # 1050
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7410
Practice Address - Country:US
Practice Address - Phone:469-273-0152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty