COREY VILLALOBOS (NPI# 1417491317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417491317 |
| Entity Type | Individual |
| Full Name | COREY VILLALOBOS |
| Practice Address |
800 W 5th St Apt 1008 Austin TX 78703-5445 |
| Mailing Address |
Po Box 744 Austin TX 78767-0744 |
| Practice Telephone | 4159391934 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
800 W 5TH ST APT 1008 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936779 | Stimulating Instruments | Specialist/Technologist, Other | 312 Ridgewood Rd, Austin, TX 78746-4619 | 2019-01-23 |
| 1588053011 | Neurophysiologic Interpretive Services, LLC | Specialist/Technologist, Other | 4301 W William Cannon Dr Ste B150, #197, Austin, TX 78749-1487 | 2015-01-21 |
| 1750729000 | Optimal Recovery Systems | Specialist/Technologist, Other | 5656 Bee Caves Road Suite K-200, Austin, TX 78746 | 2013-06-10 |
| 1477830958 | Midwest Neurodiagnostics | Specialist/Technologist, Other | 3724 Executive Center Dr Ste 163, Austin, TX 78731-1631 | 2011-11-10 |
| 1215061494 | Neurodiagnostic Consultants, Inc. | Specialist/Technologist, Other | 3724 Executive Center Drive #163, Austin, TX 78731 | 2007-03-16 |
| 1255868675 | Melody Nallia | Specialist/Technologist, Other | 800 W 5th St, Austin, TX 78703-5434 | 2017-05-16 |
| 1629528336 | Traxx Connected, LLC | Specialist/Technologist, Other | 800 W 5th St, Unit 1008, Austin, TX 78703-5434 | 2016-10-05 |
| 1841740552 | Traxx Federated, LLC | Specialist/Technologist, Other | 800 W 5th St, Unit 1008, Austin, TX 78703-5434 | 2016-10-05 |
| 1548710254 | Traxx Blue, LLC | Specialist/Technologist, Other | 800 W 5th St, Unit 1008, Austin, TX 78703-5434 | 2016-10-05 |
| 1619329554 | Evoked Potentials, LLC | Specialist/Technologist, Other | 800 W 5th St, Unit 1008, Austin, TX 78703-5434 | 2016-07-04 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on COREY VILLALOBOS.
| 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.