1659561272 NPI number — REST TECHNOLOGIES SLEEP DISORDER CENTER OF HOUSTON, LLP

Table of content: (NPI 1659561272)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659561272 NPI number — REST TECHNOLOGIES SLEEP DISORDER CENTER OF HOUSTON, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REST TECHNOLOGIES SLEEP DISORDER CENTER OF HOUSTON, LLP
Provider Last Name:
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Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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NPI Number Information

NPI Number:
1659561272
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2201 W HOLCOMBE BLVD STE 325
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:
77030-2042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-668-4100
Provider Business Mailing Address Fax Number:
281-239-6268

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2201 W HOLCOMBE BLVD STE 325
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-2042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-668-4100
Provider Business Practice Location Address Fax Number:
281-239-6268
Provider Enumeration Date:
07/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SIMMONS
Authorized Official First Name:
JERALD
Authorized Official Middle Name:
H
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
281-668-4100

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)





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