MEDICARE: GRAND PARKWAY SLEEP CENTER, 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
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1447538509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAND PARKWAY SLEEP CENTER, INC

Provider Business Mailing Address
First Line	:	19875 SOUTHWEST FWY STE 110
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3502
Country	:	US
Telephone Number	:	713-828-5495
Fax Number	:

Provider Business Practice Location Address
First Line	:	19875 SOUTHWEST FWY STE 110
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3502
Country	:	US
Telephone Number	:	713-828-5495
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BARKETALI ROOPANI
Credential	:
Telephone Number	:	713-828-5495

Provider Enumeration Date	:	07/23/2011
Last Update Date	:	08/09/2011

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