MEDICARE: SNORING CENTER OF HOUSTON PA

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	:	1598058018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNORING CENTER OF HOUSTON PA

Provider Business Mailing Address
First Line	:	6901 SNIDER PLZ
Second Line	:	SUITE 225
City	:	DALLAS
State	:	TX
Zip	:	75205-5648
Country	:	US
Telephone Number	:	214-369-2345
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 ESSEX LN
Second Line	:	SUITE 215
City	:	HOUSTON
State	:	TX
Zip	:	77027-5133
Country	:	US
Telephone Number	:	713-622-2345
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	SYLVIA E FERGASON
Credential	:
Telephone Number	:	214-369-2345

Provider Enumeration Date	:	05/17/2011
Last Update Date	:	12/10/2018

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