Olympianeuro LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

OLYMPIANEURO LLC

Practice address

2938 Winchase Boulevard
Houston, TX 77082-1864

Phone

(713) 446-1491

Fax

(713) 583-6635

NPI assigned

Oct 9, 2014

Last updated

Oct 9, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kreshon SmithNPI 1598136277

Title

Member

Phone

(713) 446-1491

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kreshon Smith

  • Electroneurodiagnostic Specialist/Technologist
  • Houston, TX
  • NPI 1598136277
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1538563283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781191",
            "telephone_number": "713-446-1491",
            "fax_number": "713-583-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 WINCHASE BOULEVARD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821864",
            "telephone_number": "713-446-1491",
            "fax_number": "713-583-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIANEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRESHON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-446-1491"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Olvera
• Rafael Isai Olvera
• Yaritza Olvera
• Yessenia Irlett Olvera
• Zonia Olvera
• Olympus Partners LLC
• Christopher Ronald Olynik, DMD
• Om Aastha, LLC (ShineMD Medspa & Wellness Center)
• Om Krishna PLLC
• Om Therapy, PLLC

• Electroneurodiagnostic Specialist/Technologist in Houston, TX
• Providers in Houston, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.