Provider Demographics
NPI:1184840704
Name:LAKEWOOD SLEEP SOLUTIONS INC.
Entity Type:Organization
Organization Name:LAKEWOOD SLEEP SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-422-1504
Mailing Address - Street 1:1012 DECKER DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-4435
Mailing Address - Country:US
Mailing Address - Phone:281-422-1504
Mailing Address - Fax:281-422-1505
Practice Address - Street 1:1012 DECKER DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-4435
Practice Address - Country:US
Practice Address - Phone:281-422-1504
Practice Address - Fax:281-422-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic