Organization
STEEPLECHASE DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOKO TAYLOR (ADMINISTRATOR)
(281) 980-1330
Entity
Organization
Contact information
Practice address
2616 S LOOP W, STE 170-B, HOUSTON, TX 77054-2662
(866) 757-2687
(281) 980-1331
Mailing address
PO BOX 20366, HOUSTON, TX 77225-0366
(281) 980-1330
(281) 980-1331
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
J5877
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
J5877
TX
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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