Organization
RESPITE SLEEP DIAGNOSTIC CENTER AT THE NEUROLIFE CONSORTIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HENRY (CREDENTIALLING)
(832) 768-0703
Entity
Organization
Contact information
Practice address
3117 COLLEGE PARK DR STE 200, THE WOODLANDS, TX 77384-4192
(281) 319-4910
Mailing address
3117 COLLEGE PARK DR STE 200, THE WOODLANDS, TX 77384-4192
(281) 319-4910
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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