Organization
SOUTHEAST TEXAS SLEEP DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARLEY R. METCALFE (VICE PRESIDENT)
(913) 706-7600
Entity
Organization
Contact information
Practice address
1112 N. HIGHWAY 69, SUITE A, NEDERLAND, TX 77627
(409) 727-7122
(409) 727-8080
Mailing address
1112 N. HIGHWAY 69, SUITE A, NEDERLAND, TX 77627
(409) 727-7122
(409) 727-8080
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PL7097
BCBS
TX
Enumeration date
11/30/2006
Last updated
10/07/2010
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