Provider Demographics
NPI:1326308586
Name:NEURO-SOMNOLAB OF TEXAS, INC.
Entity Type:Organization
Organization Name:NEURO-SOMNOLAB OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BIJU
Authorized Official - Middle Name:M
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-584-9380
Mailing Address - Street 1:4501 CARTWRIGHT RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3534
Mailing Address - Country:US
Mailing Address - Phone:832-539-3704
Mailing Address - Fax:281-754-4351
Practice Address - Street 1:1808 SNAKE RIVER RD
Practice Address - Street 2:SUITE B
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7746
Practice Address - Country:US
Practice Address - Phone:832-980-1334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic