Healthcare Provider Details

I. General information

NPI: 1093932345
Provider Name (Legal Business Name): NORTH HOUSTON SLEEP CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 MANUGM RD, BLDG 2
HOUSTON TX
77092
US

IV. Provider business mailing address

2710 MANGUM RD, BLDG 2
HOUSTON TX
77092
US

V. Phone/Fax

Practice location:
  • Phone: 713-688-3188
  • Fax: 800-593-0002
Mailing address:
  • Phone: 713-688-3188
  • Fax: 800-593-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. LUIS DE ORBEGOSO
Title or Position: PRESIDENT
Credential:
Phone: 713-688-3188