Provider Demographics
NPI:1346206786
Name:ISN SLEEP CENTER OF EAST TEXAS, LLC
Entity Type:Organization
Organization Name:ISN SLEEP CENTER OF EAST TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA-PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-347-5282
Mailing Address - Street 1:109 W HOYT DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-3614
Mailing Address - Country:US
Mailing Address - Phone:903-236-5080
Mailing Address - Fax:903-236-5086
Practice Address - Street 1:109 W HOYT DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-3614
Practice Address - Country:US
Practice Address - Phone:903-236-5080
Practice Address - Fax:903-236-5086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center