| NPI | 1205317534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED JAMES DICKERSON Chief Executive Officer 832-221-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-02-03 |