Provider Demographics
NPI:1770661076
Name:HAMIDA SLEEP & NEURODIAGNOSTIC CENTER
Entity Type:Organization
Organization Name:HAMIDA SLEEP & NEURODIAGNOSTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-532-7311
Mailing Address - Street 1:PO BOX 741126
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-1126
Mailing Address - Country:US
Mailing Address - Phone:713-532-7311
Mailing Address - Fax:713-532-7399
Practice Address - Street 1:828 ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-1423
Practice Address - Country:US
Practice Address - Phone:713-532-7311
Practice Address - Fax:713-532-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178816801Medicaid
TXFTS092Medicare PIN
TX178816801Medicaid