Organization Name: | SETX SLEEP MANAGEMENT LLC |
NPI Number: | 1225477946 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY VARGAS (PRACTICE MANAGER) |
Mailing Address: | 2600 Highway 365 Suite E Nederland |
State: | TX US |
Postal Code: | 776276237 |
Phone Number: | 4097273612 |
Fax Number: | 4097295534 |
NPI Enumeration Date: | 06/15/2013 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | H2527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |