Healthcare Provider Details

I. General information

NPI: 1710621461
Provider Name (Legal Business Name): RELIANCE HEART LUNG & SLEEP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18333 EGRET BAY BLVD STE 630
HOUSTON TX
77058-3298
US

IV. Provider business mailing address

18333 EGRET BAY BLVD STE 630
HOUSTON TX
77058-3298
US

V. Phone/Fax

Practice location:
  • Phone: 979-290-2047
  • Fax: 281-971-9051
Mailing address:
  • Phone: 979-290-2047
  • Fax: 281-971-9051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: JEFFERY WEBER
Title or Position: OWNER
Credential:
Phone: 281-692-8570