# SOUTHWEST SIDS RESEARCH INSTITUTE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477509883
- **Authorized official:** MRS. JUDITH ANN HENSLEE LMSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (979) 297-2101

## Contact information

- **Practice address:** 230 PARKING WAY ST, LAKE JACKSON, TX 77566-5227
- **Practice address phone:** (979) 297-2101
- **Practice address fax:** (979) 297-6682
- **Mailing address:** 230 PARKING WAY ST, LAKE JACKSON, TX 77566-5227
- **Mailing address phone:** (979) 297-2101
- **Mailing address fax:** (979) 297-6682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/28/2012