Provider Demographics
NPI:1396836102
Name:THE INSTITUTE OF SLEEP MEDICINE, INC.
Entity type:Organization
Organization Name:THE INSTITUTE OF SLEEP MEDICINE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICDAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-465-9282
Mailing Address - Street 1:7500 SAN FELIPE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1708
Mailing Address - Country:US
Mailing Address - Phone:713-465-9282
Mailing Address - Fax:713-465-9248
Practice Address - Street 1:7500 SAN FELIPE
Practice Address - Street 2:SUITE 550
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1708
Practice Address - Country:US
Practice Address - Phone:713-465-9282
Practice Address - Fax:713-465-9248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS017Medicare ID - Type UnspecifiedMEDICARE NUMBER