1144660374 NPI number — AMERICAN SLEEP MEDICINE LLC

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 1144660374 NPI number — AMERICAN SLEEP MEDICINE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN SLEEP MEDICINE LLC
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:
AMERICAN SLEEP MEDICINE
Provider Other Organization Name Type Code:
3
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:
1144660374
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13455 CUTTEN RD STE 2K
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77069-1486
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-232-0027
Provider Business Mailing Address Fax Number:
832-408-8559

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13455 CUTTEN RD
Provider Second Line Business Practice Location Address:
SUITE 2K
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77069-2327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-232-0027
Provider Business Practice Location Address Fax Number:
832-232-0031
Provider Enumeration Date:
07/02/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TABDILI
Authorized Official First Name:
TODD
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
310-270-7865

Provider Taxonomy Codes

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

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