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Organization

GULF COAST SLEEP CENTER AND DIAGNOSTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLY WAGNER (OFFICE/BILLING MANAGER)
(979) 266-9497
Entity
Organization

Contact information

Practice address
107 W WAY ST STE 19, LAKE JACKSON, TX 77566-5238
(979) 266-9497
(979) 266-9507
Mailing address
107 W WAY ST STE 19, LAKE JACKSON, TX 77566-5238
(979) 266-9497
(979) 266-9507

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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