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Organization
HOUSTON CO HEALTHCARE AUTHORITY DBA ENTERPRISE SLEEP CLINIC
Active
Organization
HOUSTON CO HEALTHCARE AUTHORITY DBA ENTERPRISE SLEEP CLINIC
Active
Parent organization
HOUSTON CO HEALTHCARE AUTHORITY
Other names
Enterprise Sleep Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON CO HEALTHCARE AUTHORITY
Authorized official
MR. CRYSTAL S FOSTER (CONTRACT MANAGER)
(334) 793-8087
Entity
Organization
Contact information
Practice address
101 PROFESSIONAL LN STE A, ENTERPRISE, AL 36330-2085
(334) 347-3404
(334) 393-0613
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 793-8191
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C867
BCBS OF ALABAMA GROUP
AL
Enumeration date
10/09/2006
Last updated
02/12/2008
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