Healthcare Provider Details

I. General information

NPI: 1265758650
Provider Name (Legal Business Name): HOUSTON AREA PULMONARY AND SLEEP CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2010
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9525 KATY FWY SUITE 102
HOUSTON TX
77024-1407
US

IV. Provider business mailing address

9525 KATY FWY SUITE 102
HOUSTON TX
77024-1407
US

V. Phone/Fax

Practice location:
  • Phone: 281-888-9583
  • Fax: 281-888-5157
Mailing address:
  • Phone: 281-888-9583
  • Fax: 281-888-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number
License Number State

VIII. Authorized Official

Name: CINDY KAM-TAI JON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-888-9583