Provider Demographics
NPI:1689714388
Name:SLEEP DIAGNOSTICS OF TEXAS, INC.
Entity Type:Organization
Organization Name:SLEEP DIAGNOSTICS OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-681-2211
Mailing Address - Street 1:4840 W PANTHER CREEK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3527
Mailing Address - Country:US
Mailing Address - Phone:281-681-2211
Mailing Address - Fax:281-681-3311
Practice Address - Street 1:4840 W PANTHER CREEK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3527
Practice Address - Country:US
Practice Address - Phone:281-681-2211
Practice Address - Fax:281-681-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS037Medicare ID - Type UnspecifiedMEDICARE ID