MEDICARE: SLEEPING ALPHA 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
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1801303235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEPING ALPHA LLC

Provider Business Mailing Address
First Line	:	1616 CULLEN BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 CULLEN BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3046
Country	:	US
Telephone Number	:	281-837-6510
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	ANGIE M RODRIGUEZ
Credential	:
Telephone Number	:	281-837-6510

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	01/10/2018

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Directions to “SLEEPING ALPHA LLC ” Practice Location

Language	Start Address	Practice Location

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