Organization
GULF ADVANCED DIAGNOSTICS SLEEP CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIANE CRUMBLEY (PRESIDENT)
(713) 795-0302
Entity
Organization
Contact information
Practice address
8111 NORTH STADIUM DRIVE, SUITE 200, HOUSTON, TX 77054-1826
(713) 795-0302
(713) 795-0300
Mailing address
8111 NORTH STADIUM DRIVE, SUITE 200, HOUSTON, TX 77054-1826
(713) 795-0302
(713) 795-0300
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PL7174
BC BS PROVIDER NUMBER
TX
Enumeration date
12/06/2006
Last updated
08/22/2020
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