Provider Demographics
NPI:1720122013
Name:SLEEP UNLIMITED KATY LAB
Entity Type:Organization
Organization Name:SLEEP UNLIMITED KATY LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:EALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-599-3740
Mailing Address - Street 1:539 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2491
Mailing Address - Country:US
Mailing Address - Phone:281-599-3740
Mailing Address - Fax:281-599-3745
Practice Address - Street 1:539 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2491
Practice Address - Country:US
Practice Address - Phone:281-599-3740
Practice Address - Fax:281-599-3745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic