MEDICARE: NEURO DIAGNOSTIC HOME SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist
2	246ZE0500X	EEG Specialist/Technologist

General Provider Information

NPI Number	:	1982907143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO DIAGNOSTIC HOME SERVICES, LLC

Provider Business Mailing Address
First Line	:	5904 S COOPER ST
Second Line	:	SUITE 104-184
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4494
Country	:	US
Telephone Number	:	469-831-7111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 S FREEWAY
Second Line	:	SUITE 204
City	:	FORT WORTH
State	:	TX
Zip	:	76104-5064
Country	:	US
Telephone Number	:	469-831-7111
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MR. DARRYL EVANS
Credential	:	J.D.
Telephone Number	:	469-831-7111

Provider Enumeration Date	:	12/09/2010
Last Update Date	:	12/09/2010

Similar Medicare Providers

1063690212 — CORECARE, LLC
Practice Location Address:

1120 SOUTH FWY , SUITE 209
FORT WORTH, TX
76104-5064

Practice Phone: 817-877-1616
Practice Fax: 817-334-7994

1063839165 — SHELIA YVONNE MCKINNEY
Practice Location Address:

4623 MILLER AVE STE B
FORT WORTH, TX
76119-5064

Practice Phone: 817-988-7602
Practice Fax: 817-413-5572

1225689854 — LUIS MATOS
Practice Location Address:

4666 FOUNTAINS DR S
LAKE WORTH, FL
33467-5064

Practice Phone: 561-596-8684
Practice Fax:

1477423283 — SASKHIA J DACCARETT
Practice Location Address:

5064 LANTANA RD APT 6210
LAKE WORTH, FL
33463-6873

Practice Phone: 561-388-2980
Practice Fax:

1508066176 — THEODORUS JONATHAN KURKJIAN MD
Practice Location Address:

800 8TH AVE , SUITE 336
FORT WORTH, TX
76104-2601

Practice Phone: 817-870-5080
Practice Fax: 817-870-5064

1033490578 — MEDHAB
Practice Location Address:

2009 W BEAUREGARD AVE
SAN ANGELO, TX
76901-3812

Practice Phone: 817-233-5271
Practice Fax:

Directions to “NEURO DIAGNOSTIC HOME SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.