HOMESTEAD NEURO DIAGNOSTICS (NPI# 1174985139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174985139 |
| Entity Type | Organization |
| Organization Name | HOMESTEAD NEURO DIAGNOSTICS |
| Practice Address |
8403 State Highway 151 Ste 104 #111 San Antonio TX 78245-2199 |
| Practice Telephone | 8324691155 |
| Mailing Telephone | 8324691155 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Authorized Official Name | MR. CLIFTON ALBERT JACOB EDWARDS (OWNER/MANAGER) |
| Authorized Official Telephone | 8324691155 |
| Authorized Official Credential | MHA, PMP, CPHQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8403 STATE HIGHWAY 151 STE 104 #111 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78245-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154651123 | Jjdnm, Pllc | Psychiatry & Neurology | 8403 State Highway 151, Ste 104 #358, San Antonio, TX 78245 | 2010-01-13 |
| 1477195147 | Ortho Medical Management Assistants, Pllc | Physician Assistant | 8403 State Highway 151, Ste 104 #466, San Antonio, TX 78245 | 2019-10-14 |
| 1528337607 | Laura Madu | Nurse Practitioner | 8403 State Highway 151, Ste 104-545, San Antonio, TX 78245-2199 | 2011-12-20 |
| 1992035968 | Gsgnm, Pllc | Psychiatry & Neurology | 8403 State Highway 151, Ste 104 #538, San Antonio, TX 78245 | 2010-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510082 | Ab Solutions LLC | Community/Behavioral Health | 9439 Dugas, San Antonio, TX 78245 | 2020-08-28 |
| 1871113522 | Sharnell Jayana Garza | Licensed Vocational Nurse | 10248 Harora Field, San Antonio, TX 78245 | 2020-04-23 |
| 1003444282 | Rose Bechebuh | Licensed Vocational Nurse | 10766 Gemsbcuk Lodge, San Antonio, TX 78245 | 2020-04-01 |
| 1538700729 | Sng - Westover Hills Dialysis Clinic | Clinic/Center | 9443 Dugas Dr, San Antonio, TX 78245 | 2019-09-30 |
| 1578023974 | Daniel Max & Marcandrea LLC | Optometrist | 8539 Tx 151, San Antonio, TX 78245 | 2019-03-21 |
| 1487112991 | San Antonio Family Dental Pllc | Dentist | 14249 Potranco Road, Ste 104, San Antonio, TX 78245 | 2019-03-05 |
| 1750851333 | Traci Rae L'ecuyer | Student in an Organized Health Care Education/Training Program | 2314 Hornsby Bend, San Antonio, TX 78245 | 2018-11-27 |
| 1992287783 | Leticia Flores | Occupational Therapy Assistant | 8707 Lakeside Parkway, San Antonio, TX 78245 | 2018-08-29 |
| 1649763517 | Four Winds Hospice, Inc | Hospice Care, Community Based | 12703 Coal Mine Rise, San Antonio, TX 78245 | 2018-06-14 |
| 1982106696 | Marbach Smiles Pllc | Dentist | 10910 Marbach Road, San Antonio, TX 78245 | 2018-03-08 |
| Find all providers in zip 78245 | ||||
| Taxonomy Code | 2472E0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770956468 | Sean Talamantes | Technician, Other | 3007 War Knife St, San Antonio, TX 78238-4331 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906222 | Kiom, LLC | Technician, Other | 1075 Griffin St W # 104, Dallas, TX 75215-1026 | 2019-11-16 |
| 1427513050 | Lafollette Limbrick Jr. | Technician, Other | 8833 Riverwell Cir W, Houston, TX 77083-7716 | 2019-02-07 |
| 1609356625 | Manish Gupta | Technician, Other | 4418 Bluebonnet Dr Ste 401, Stafford, TX 77477-2904 | 2018-08-20 |
| 1194235358 | Ennis Dwight Osteen II | Technician, Other | 1310 Rayford Rd Ste 203, Spring, TX 77386-2613 | 2017-10-02 |
| 1275911737 | Mbc-iom, LLC. | Technician, Other | 627 Ridgemont Dr, Allen, TX 75002-6100 | 2015-05-15 |
| 1134515141 | Poly-rhythms LLC | Technician, Other | 3821 Julius Ln, Houston, TX 77021-1529 | 2015-04-07 |
| 1194115295 | Poly-rhythms LLC | Technician, Other | 7902 Adagio Ave, Houston, TX 77040-2596 | 2015-01-27 |
| 1922397991 | Greg David Doster | Technician, Other | 5410 West Loop S, Bellaire, TX 77401-2103 | 2011-03-30 |
| 1518402254 | Iom Solutions, LLC | Technician, Other | 7918 Westington Ln, Houston, TX 77040-6148 | 2017-01-05 |
| 1043763493 | Brainhertz Neurodiagnostic LLC | Technician, Other | 4622 Lakepointe Ave, Rowlett, TX 75088-6861 | 2016-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78245 |
Please comment or provide details below to improve the information on HOMESTEAD NEURO DIAGNOSTICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.