Active NPI
Hom Neuro
- Physiological Laboratory
- Dallas, TX
National Provider Identifier
1902665839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- HOM NEURO
- Practice address
- 2811 McKinney Ave Ste 317
Dallas, TX 75204-8600 - Phone
- (866) 747-8341
- Fax
- (800) 616-0774
- NPI assigned
- Mar 14, 2024
- Last updated
- Feb 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Conor M Butts
- Title
- President
- Phone
- (866) 747-8341
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
2811 McKinney Ave Ste 317
Dallas, TX 75204-8600
Mailing address
2811 McKinney Ave Ste 317
Dallas, TX 75204-8600
Phone (866) 747-8341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240626003583 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5092259416 | Practice locations: Dallas, TX |
| O20251028000348 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5092259416 | Practice locations: Cambridge, MA |
National Provider Directory
National Provider DirectoryLocations
122 Mount Auburn St
Ste B
Cambridge, MA 02138
Phone (866) 747-8341
2811 McKinney Ave
Ste 317
Dallas, TX 75204
Phone (866) 747-8341
3317 McKinney Ave
Ste 206
Dallas, TX 75204
Phone (214) 789-6908
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Neurology Physician
- Plano, TX
- NPI 1558563031
-
- Neurology Physician
- Lawrence, MA
- NPI 1982691655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1902665839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 MCKINNEY AVE STE 317",
"city": "DALLAS",
"state": "TX",
"postal_code": "752048600",
"telephone_number": "866-747-8341",
"fax_number": "800-616-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 MCKINNEY AVE STE 317",
"city": "DALLAS",
"state": "TX",
"postal_code": "752048600",
"telephone_number": "866-747-8341",
"fax_number": "800-616-0774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOM NEURO",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-14",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "BUTTS",
"authorized_official_first_name": "CONOR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "866-747-8341"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Christopher Holtz, M.S., LMFT-A
- Laura Hines Holub, CRNA
- Michael Charles Holub, M.D.
- Chitra Holur Yamanna, D.D.S
- Lavern Jordan Holyfield, D.D.S.
- Jim Hom, PH.D.
- Billal Homayoun
- Home Health Agency-Texas, Inc (Health Care Partners @ Home)
- Home Health Care Services LLC (Health at Home)
- Home Health Care Services LLC (Health at Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.