Provider Demographics
NPI:1225345580
Name:SLEEP HEALTH CLINIC OF THE WOODLANDS, P.A.
Entity Type:Organization
Organization Name:SLEEP HEALTH CLINIC OF THE WOODLANDS, P.A.
Other - Org Name:SLEEP HEALTH CLINIC OF THE WOODLANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-719-5190
Mailing Address - Street 1:8505 TECHNOLOGY FOREST PLACE
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:281-719-5190
Mailing Address - Fax:877-545-2384
Practice Address - Street 1:8505 TECHNOLOGY FOREST PLACE
Practice Address - Street 2:SUITE 1002
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381
Practice Address - Country:US
Practice Address - Phone:281-719-5190
Practice Address - Fax:877-545-2384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RS0012X
TXN0839261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1134371800OtherNPI