Organization Active NPI

Hom Neuro

  • Physiological Laboratory
  • Dallas, TX
National Provider Identifier
1902665839
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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)CodeLicenseStatePrimary
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, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.