Provider Demographics
NPI:1922446855
Name:ST. LUKES THE WOODLANDS SLEEP CENTER LLC
Entity Type:Organization
Organization Name:ST. LUKES THE WOODLANDS SLEEP CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, BOARD OF MANAGERS
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-355-4979
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:281-298-8055
Mailing Address - Fax:
Practice Address - Street 1:8850 SIX PINES DR
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2683
Practice Address - Country:US
Practice Address - Phone:281-298-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. LUKES HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-13
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty