Healthcare Provider Details
I. General information
NPI: 1154965739
Provider Name (Legal Business Name): STERLING RIDGE ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2019
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20639 KUYKENDAHL RD STE 200
SPRING TX
77379-3587
US
IV. Provider business mailing address
20639 KUYKENDAHL RD STE 200
SPRING TX
77379-3587
US
V. Phone/Fax
- Phone: 832-698-0111
- Fax:
- Phone: 832-698-0111
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081S0010X |
| Taxonomy | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
M
HAYES
Title or Position: PARTNER
Credential:
Phone: 281-364-1122