1053085928 NPI number — SNOOZE SLEEP AND DIAGNOSTICS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053085928 NPI number — SNOOZE SLEEP AND DIAGNOSTICS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SNOOZE SLEEP AND DIAGNOSTICS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053085928
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5827 CASPIAN FALLS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FULSHEAR
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77441-2147
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23410 GRAND RESERVE DR STE 703
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77494-4983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-473-9255
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2021

Additional Information

Authorized Official

Authorized Official Last Name:
PARADA
Authorized Official First Name:
ANGIE
Authorized Official Middle Name:
Authorized Official Title or Position:
OPERATIONS MANAGER / CO-OWNER
Authorized Official Telephone Number:
979-473-9255

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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