Healthcare Provider Details
I. General information
NPI: 1922577972
Provider Name (Legal Business Name): PINACLE DIAGNOSTIC SLEEP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2018
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6655 TRAVIS ST STE 850
HOUSTON TX
77030-1317
US
IV. Provider business mailing address
PO BOX 130940
SPRING TX
77393-0940
US
V. Phone/Fax
- Phone: 281-885-8824
- Fax: 281-886-3037
- Phone: 832-813-8280
- Fax: 800-500-2344
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246ZA2600X |
| Taxonomy | Medical Art Specialist/Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
ROPHAIL
Title or Position: MANAGING MEMBER
Credential:
Phone: 713-679-4487