Organization
ACADEMY DIAGNOSTICS SLEEP CENTER, LLC
Active
Parent organization
ACADEMY DIAGNOSTICS SLEEP CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADEMY DIAGNOSTICS SLEEP CENTER, LLC
Authorized official
DR. JOSHUA ROTENBEG M.D. (OWNER)
(832) 659-0248
Entity
Organization
Contact information
Practice address
12727 KIMBERLEY LN STE 107, HOUSTON, TX 77024-4047
(832) 659-0248
(832) 659-0261
Mailing address
12727 KIMBERLEY LN STE 107, HOUSTON, TX 77024-4047
(832) 659-0248
(832) 659-0261
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195688001
—
TX
Enumeration date
11/26/2014
Last updated
11/26/2014
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