Organization
MONTGOMERY SLEEP DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY ALAN STEVENS (OWNER)
(936) 443-9921
Entity
Organization
Contact information
Practice address
19782 HWY 105 W, SUITE 133, MONTGOMERY, TX 77356-3104
(936) 443-9921
Mailing address
19782 HWY 105 W, SUITE 133, MONTGOMERY, TX 77356-3104
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
12/09/2010
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