Provider Demographics
NPI:1851311443
Name:SLEEP QUEST
Entity Type:Organization
Organization Name:SLEEP QUEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-327-3457
Mailing Address - Street 1:PO BOX 1329
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-0024
Mailing Address - Country:US
Mailing Address - Phone:936-327-3457
Mailing Address - Fax:936-328-5748
Practice Address - Street 1:1601 HWY 59 LOOP NORTH
Practice Address - Street 2:SUITE 400
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351
Practice Address - Country:US
Practice Address - Phone:936-327-3457
Practice Address - Fax:936-328-5748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS -108Medicare ID - Type Unspecified