Provider Demographics
NPI:1003963729
Name:SRM SLEEP SOLUTIONS, INC.
Entity Type:Organization
Organization Name:SRM SLEEP SOLUTIONS, INC.
Other - Org Name:EASTEX SLEEP SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FOUNTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-892-8303
Mailing Address - Street 1:2260 W HOLCOMBE BLVD # 299
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2008
Mailing Address - Country:US
Mailing Address - Phone:713-664-9611
Mailing Address - Fax:713-664-9612
Practice Address - Street 1:2272 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2008
Practice Address - Country:US
Practice Address - Phone:713-664-9611
Practice Address - Fax:713-664-9612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center