Healthcare Provider Details

I. General information

NPI: 1134515141
Provider Name (Legal Business Name): S-WORLD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7902 ADAGIO AVE
HOUSTON TX
77040-2596
US

IV. Provider business mailing address

7902 ADAGIO AVE
HOUSTON TX
77040-2596
US

V. Phone/Fax

Practice location:
  • Phone: 832-508-9574
  • Fax: 832-581-4306
Mailing address:
  • Phone: 832-508-9574
  • Fax: 832-581-4306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number2305
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number3156
License Number StateLA

VIII. Authorized Official

Name: SULA MARIE STANFIELD
Title or Position: MANAGING MEMBER
Credential: RN
Phone: 832-508-9574