Healthcare Provider Details

I. General information

NPI: 1417446436
Provider Name (Legal Business Name): FORESTWOOD SLEEP THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15836 CHAMPION FOREST DR
SPRING TX
77379-7141
US

IV. Provider business mailing address

15836 CHAMPION FOREST DR
SPRING TX
77379-7141
US

V. Phone/Fax

Practice location:
  • Phone: 281-376-1101
  • Fax:
Mailing address:
  • Phone: 281-376-1101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: KHOA HUU NGUYEN
Title or Position: DENTIST
Credential:
Phone: 281-376-1101