Provider Demographics
NPI:1912107301
Name:SLEEP INOVATIONS
Entity Type:Organization
Organization Name:SLEEP INOVATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:936-448-4428
Mailing Address - Street 1:19782 HIGHWAY 105 W
Mailing Address - Street 2:SUITE 133A
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-3103
Mailing Address - Country:US
Mailing Address - Phone:936-448-4428
Mailing Address - Fax:
Practice Address - Street 1:19782 HIGHWAY 105 W
Practice Address - Street 2:SUITE 133A
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-3103
Practice Address - Country:US
Practice Address - Phone:936-448-4428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS RT SERVICES & SLEEP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64071332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies