MEDICARE: SOMNOGRAM PLLC

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
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1366300295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMNOGRAM PLLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 13659
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4027 MARTINSHIRE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3916
Country	:	US
Telephone Number	:	210-512-2344
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JOSE MOONJELY DAVIS
Credential	:	MD
Telephone Number	:	210-512-2344

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	03/18/2026

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Directions to “SOMNOGRAM PLLC ” Practice Location

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