Neuro Diagnostic Home Services, LLC

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

NEURO DIAGNOSTIC HOME SERVICES, LLC

Practice address

1120 S Freeway
Suite 204
Fort Worth, TX 76104-5064

Phone

(469) 831-7111

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Darryl Evans, J.D.

Title

Coo

Phone

(469) 831-7111

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1982907143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 S COOPER ST",
            "address_2": "SUITE 104-184",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174494",
            "telephone_number": "469-831-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S FREEWAY",
            "address_2": "SUITE 204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045064",
            "telephone_number": "469-831-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO DIAGNOSTIC HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "469-831-7111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.