Provider Demographics
NPI:1982769261
Name:SLEEP LABS OF TEXAS INC
Entity Type:Organization
Organization Name:SLEEP LABS OF TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-832-6934
Mailing Address - Street 1:PO BOX 20231
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77720-0231
Mailing Address - Country:US
Mailing Address - Phone:409-832-6934
Mailing Address - Fax:409-832-3539
Practice Address - Street 1:42 N 11TH STREET
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:409-832-6934
Practice Address - Fax:409-832-3539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PL0260OtherBLUE CROSS BLUE SHIELD
FTS004Medicare ID - Type Unspecified