Provider Demographics
NPI:1073585105
Name:TEXAS RT SERVICES & SLEEP DIAGNOSTICS
Entity Type:Organization
Organization Name:TEXAS RT SERVICES & SLEEP DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:936-448-4428
Mailing Address - Street 1:19782 HIGHWAY 105 W
Mailing Address - Street 2:SUITE 133
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-5632
Mailing Address - Country:US
Mailing Address - Phone:936-448-4428
Mailing Address - Fax:936-582-4554
Practice Address - Street 1:19782 HIGHWAY 105 W
Practice Address - Street 2:SUITE 133
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5632
Practice Address - Country:US
Practice Address - Phone:936-448-4428
Practice Address - Fax:936-582-4554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX640712279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral CareGroup - Single Specialty