Provider Demographics
NPI:1457535684
Name:SCOTT L. JOHNSON
Entity Type:Organization
Organization Name:SCOTT L. JOHNSON
Other - Org Name:APNEA AND SLEEP DIAGNOSTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-576-5925
Mailing Address - Street 1:PO BOX 1542
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77580-1542
Mailing Address - Country:US
Mailing Address - Phone:281-576-5925
Mailing Address - Fax:
Practice Address - Street 1:9511 N HIGHWAY 146
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-9677
Practice Address - Country:US
Practice Address - Phone:281-576-5925
Practice Address - Fax:281-576-4658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic