EDEN ALCOSEBA (NPI# 1063011922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063011922 |
| Entity Type | Individual |
| Full Name | EDEN ALCOSEBA |
| Practice Address |
2300 Wolf Ranch Pkwy Apt 6201 Georgetown TX 78628-7299 |
| Practice Telephone | 2295188891 |
| Mailing Telephone | 2295188891 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASCP | 5931 | 01 |
| Street Address |
2300 WOLF RANCH PKWY APT 6201 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-7299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498201 | Christopher Eric Lea | Spec/Tech, Pathology | 3420 Plaza Cir, Beaumont, TX 77707-2552 | 2020-08-18 |
| 1003425406 | Tonye Houston Aseminaso | Spec/Tech, Pathology | 9201 Norwich Dr, Mckinney, TX 75071-6089 | 2020-07-31 |
| 1891141628 | Jessica Burch | Spec/Tech, Pathology | 323 Twin Oaks Dr, La Vernia, TX 78121-4522 | 2016-05-11 |
| 1104225390 | Jorge Canales | Spec/Tech, Pathology | 4200 Las Palmas Cir, Apt 722, Brownsville, TX 78521-2791 | 2014-08-14 |
| 1811295967 | Claxton Oral Arthur | Spec/Tech, Pathology | 5200 West Loop S, 2nd Floor Suite 204, Bellaire, TX 77401-2101 | 2011-03-13 |
| 1699909135 | Theresa Elizabeth Culver | Spec/Tech, Pathology | 701 Legacy Dr Apt 1924, Plano, TX 75023-2239 | 2009-05-13 |
| 1407033418 | Claudia Patricia Havard | Spec/Tech, Pathology | 426 Basham Rd, Pollok, TX 75969-4412 | 2008-01-22 |
| 1437335924 | Jarratt Wade Landers | Spec/Tech, Pathology | 1 Hermann Museum Circle Dr Apt 2025, Houston, TX 77004-7187 | 2008-01-14 |
| 1063601300 | Christopher A Ineama | Spec/Tech, Pathology | 3750 S University Dr # 275, Fort Worth, TX 76109-3795 | 2007-10-23 |
| 1629175450 | Nwamiri Kalu Diogu | Spec/Tech, Pathology | 6506 Warfield Ln, Houston, TX 77084-6559 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
Please comment or provide details below to improve the information on EDEN ALCOSEBA.
| 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.