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NPI Code Detail

MEDICARE: OSD SLEEP CENTER LLC

MEDICARE: OSD SLEEP CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1245507797
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSD SLEEP CENTER LLC
Provider Business Mailing Address
First Line : 11221 KATY FWY
Second Line : SUITE 201
City : HOUSTON
State : TX
Zip : 77079-2133
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 205 HOLLOW TREE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2801
Country : US
Telephone Number : 281-397-0909
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : FUAD COCHINWALA
Credential :
Telephone Number : 281-397-0909
Provider Enumeration Date : 11/29/2011
Last Update Date : 11/29/2011

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