Provider Demographics
NPI:1972069912
Name:ESPER CONCIERGE AND SLEEP MEDICINE, PA
Entity Type:Organization
Organization Name:ESPER CONCIERGE AND SLEEP MEDICINE, PA
Other - Org Name:ESPER CONCIERGE AND SLEEP MEDICINE, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-429-4097
Mailing Address - Street 1:PO BOX 1387
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-1387
Mailing Address - Country:US
Mailing Address - Phone:713-429-4097
Mailing Address - Fax:832-200-5975
Practice Address - Street 1:5959 WEST LOOP S STE 510
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2406
Practice Address - Country:US
Practice Address - Phone:713-429-4097
Practice Address - Fax:832-200-5975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1013006063OtherNPI TYPE 1