HOMER M RELATIVO JR. (NPI# 1578993499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578993499 |
| Entity Type | Individual |
| Full Name | HOMER M RELATIVO JR. |
| Credential | LSA |
| Practice Address |
2971 Trail Lake Dr Grand Prairie TX 75054-5539 |
| Mailing Address |
Po Box 938 Rowlett TX 75030-0938 |
| Practice Telephone | 2142272457 |
| Practice Fax Number | 2147640880 |
| Mailing Telephone | 2142272457 |
| Mailing Fax Number | 2147640880 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
11-124 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2971 TRAIL LAKE DR |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75054-5539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518516798 | Joyce King Mathews | Technician | 6928 Clipper Dr., Grand Prairie, TX 75054 | 2019-09-10 |
| 1144883117 | Helpmates of America, LLC | Non-emergency Medical Transport (VAN) | 7315 Vienta Point, Grand Prairie, TX 75054 | 2019-04-16 |
| 1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
| 1689014110 | Skilled Speech Pathology Services, Pllc | Home Health | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
| 1649538661 | Surety Care Home Health Services Inc | Home Health | 3032 S Camino Lagos, Grand Prairie, TX 75054 | 2012-04-27 |
| 1295986578 | Bcp Health Care Incorporated | Nursing Care | 3008 Nadar, Grand Prairie, TX 75054 | 2008-10-06 |
| 1275656274 | Alexus Dutchess Medical Consulant | Durable Medical Equipment & Medical Supplies | 3167 Gudaloupe, Grand Prairie, TX 75054 | 2007-04-06 |
| 1922431022 | Urgent Plus Care LLC | Internal Medicine | 7227 Cana, Grand Prairie, TX 75054 | 2013-08-13 |
| 1578903084 | Katrina Taylor- Green | Speech-Language Pathologist | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
| 1275822009 | Homage Healthcare Services, Inc | Home Health | 3008 Nadar, Grand Prairie, TX 75054 | 2011-04-01 |
| Find all providers in zip 75054 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700130531 | Emmanuel Oti-nkrumah | Specialist/Technologist, Other | 2936 Celian Dr, Grand Prairie, TX 75052-8737 | 2012-10-31 |
| 1477807592 | Christian A Atem | Specialist/Technologist, Other | 5847 Ridgeway Dr, Grand Prairie, TX 75052-0448 | 2012-10-29 |
| 1528296795 | Comfort Ajayi | Specialist/Technologist, Other | 3013 Harrell Dr Apt 202, Grand Prairie, TX 75052-7737 | 2009-06-26 |
| 1134376494 | John O Woods | Specialist/Technologist, Other | 1208 Gaines, Grand Prairie, TX 75052 | 2008-08-19 |
| 1790179893 | 247 Obgyn Surgical Assisting Services | Specialist/Technologist, Other | 4924 Marsh Harrier Ave, Grand Prairie, TX 75052-3057 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366791 | Erich Wittmer | Specialist/Technologist, Other | 2301 Links Dr, Edinburg, TX 78542-4542 | 2020-11-04 |
| 1366043705 | Patricia Vincenty-marquez | Specialist/Technologist, Other | 11308 Culberson Dr, Aubrey, TX 76227-8050 | 2020-11-03 |
| 1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
| 1881294866 | Cynthia Alonzo | Specialist/Technologist, Other | 3800 Gaylord Pkwy Ste 410, Frisco, TX 75034-9419 | 2020-10-28 |
| 1356941652 | Synergistic Surgical Assistant | Specialist/Technologist, Other | 7414 Brookport, San Antonio, TX 78238-3528 | 2020-10-27 |
| 1225636103 | Daniel Martin Cornejo Navarro | Specialist/Technologist, Other | 25157 Resaca Santa Dr, San Benito, TX 78586-8889 | 2020-10-13 |
| 1497353593 | Jose De Jesus Alvarado Veloz | Specialist/Technologist, Other | 216 Mango Rd, El Paso, TX 79915-4314 | 2020-10-12 |
| 1639777824 | Eli Andres Pineda Faria | Specialist/Technologist, Other | 2218 Greenhouse Rd Apt 3224, Houston, TX 77084-7960 | 2020-10-11 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1871100735 | Helpinghandsbyterri, LLC | Specialist/Technologist, Other | 4050 Mcewen Rd Apt 18102, Dallas, TX 75244-5458 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75054 |
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| 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.