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NPI Code Detail

MEDICARE: NEURO-SOMNOLAB OF TEXAS, INC.

MEDICARE: NEURO-SOMNOLAB OF TEXAS, INC.
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 : 1326308586
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEURO-SOMNOLAB OF TEXAS, INC.
Provider Business Mailing Address
First Line : 4501 CARTWRIGHT RD
Second Line : SUITE 401
City : MISSOURI CITY
State : TX
Zip : 77459-3534
Country : US
Telephone Number : 832-539-3704
Fax Number : 281-754-4351
Provider Business Practice Location Address
First Line : 1808 SNAKE RIVER RD
Second Line : SUITE B
City : KATY
State : TX
Zip : 77449-7746
Country : US
Telephone Number : 832-980-1334
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. BIJU M PHILIP
Credential :
Telephone Number : 713-584-9380
Provider Enumeration Date : 05/22/2012
Last Update Date : 05/22/2012

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