Provider Demographics
NPI:1689253833
Name:HEART, LUNG AND SLEEP SPECIALISTS LLC
Entity Type:Organization
Organization Name:HEART, LUNG AND SLEEP SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-608-4498
Mailing Address - Street 1:431 NURSERY RD STE A100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1918
Mailing Address - Country:US
Mailing Address - Phone:281-608-4498
Mailing Address - Fax:
Practice Address - Street 1:431 NURSERY RD STE A100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1918
Practice Address - Country:US
Practice Address - Phone:281-608-4498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic