Provider Demographics
NPI:1790255537
Name:SLEEP SPECIALIST OF THE WOODLANDS DIAGNOSTIC CENTER
Entity Type:Organization
Organization Name:SLEEP SPECIALIST OF THE WOODLANDS DIAGNOSTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-679-4487
Mailing Address - Street 1:PO BOX 132484
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-2484
Mailing Address - Country:US
Mailing Address - Phone:832-813-8280
Mailing Address - Fax:800-500-2344
Practice Address - Street 1:6912 FM 1488 RD STE B
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-1527
Practice Address - Country:US
Practice Address - Phone:281-886-3633
Practice Address - Fax:281-886-3728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, MedicalGroup - Single Specialty
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty