Provider Demographics
NPI:1316583719
Name:SLEEP WAVE CENTER LLC
Entity Type:Organization
Organization Name:SLEEP WAVE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NOUREDDINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-426-4411
Mailing Address - Street 1:3400 BISSONNET ST STE 135
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2163
Mailing Address - Country:US
Mailing Address - Phone:832-426-4411
Mailing Address - Fax:713-904-2585
Practice Address - Street 1:3400 BISSONNET ST STE 135
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2163
Practice Address - Country:US
Practice Address - Phone:832-426-4411
Practice Address - Fax:713-904-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center