Provider Demographics
NPI:1154936706
Name:ALMEIDA, AUSTIN A
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:A
Last Name:ALMEIDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6636 DEMING DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7580
Mailing Address - Country:US
Mailing Address - Phone:254-312-1448
Mailing Address - Fax:
Practice Address - Street 1:6636 DEMING DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7580
Practice Address - Country:US
Practice Address - Phone:254-312-1448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic