Organization
EAST SIDE SLEEP CENTER, LLC
Active
Other names
Tomball Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD RICHEY (PRESIDENT)
(713) 664-1330
Entity
Organization
Contact information
Practice address
425 HOLDERRIETH BLVD, 210, TOMBALL, TX 77375-4543
(281) 207-8889
(713) 660-0970
Mailing address
PO BOX 2569, STAFFORD, TX 77497-2569
(281) 207-8800
(713) 660-0970
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318162001
—
TX
01
—
TXB155001
MEDICARE
TX
Enumeration date
01/25/2012
Last updated
11/06/2013
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