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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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