Provider Demographics
NPI:1205028727
Name:STEEPLECHASE DIAGNOSTIC CENTER, INC.
Entity Type:Organization
Organization Name:STEEPLECHASE DIAGNOSTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:L
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-664-1330
Mailing Address - Street 1:PO BOX 2569
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-2569
Mailing Address - Country:US
Mailing Address - Phone:713-664-1330
Mailing Address - Fax:713-664-3355
Practice Address - Street 1:1820 S MASON RD
Practice Address - Street 2:#350
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6148
Practice Address - Country:US
Practice Address - Phone:866-757-2687
Practice Address - Fax:888-757-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201483601Medicaid
TX201483601Medicaid