Organization
PHYSICIANS ONE SLEEP CENTER, LP
Active
Other names
Physicians One Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM RUTHERFORD (PRESIDENT/CEO & ADMINISTRATOR)
(713) 621-4464
Entity
Organization
Contact information
Practice address
6300 RICHMOND AVENUE, SUITE 333, HOUSTON, TX 77057-5931
(713) 621-4464
(713) 219-4086
Mailing address
6300 RICHMOND AVENUE, SUITE 333, HOUSTON, TX 77057-5931
(713) 621-4464
(713) 219-4086
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
TX
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
45D0932241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01170655
AMERIGROUP TX INC
TX
Enumeration date
04/26/2006
Last updated
08/19/2010
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