Provider Demographics
NPI:1538625306
Name:LAWSON, BRIAN (RVS)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:LAWSON
Suffix:
Gender:M
Credentials:RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5508 VALLEY OAK DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-4404
Mailing Address - Country:US
Mailing Address - Phone:915-540-1357
Mailing Address - Fax:
Practice Address - Street 1:5508 VALLEY OAK DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-4404
Practice Address - Country:US
Practice Address - Phone:915-540-1357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00061785246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography