MEDICARE: WOODLANDS PREMIER SLEEP CENTER, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1841592714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLANDS PREMIER SLEEP CENTER, L.P.

Provider Business Mailing Address
First Line	:	114 VISION PARK BLVD
Second Line	:	SUITE 100
City	:	SHENANDOAH
State	:	TX
Zip	:	77384-3008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 VISION PARK BLVD
Second Line	:	SUITE 100
City	:	SHENANDOAH
State	:	TX
Zip	:	77384-3008
Country	:	US
Telephone Number	:	361-485-9400
Fax Number	:	361-485-0040

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	PAUL HOANG
Credential	:	D.O.
Telephone Number	:	361-652-0025

Provider Enumeration Date	:	11/29/2010
Last Update Date	:	01/13/2011

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