Organization
EASTEX SLEEP SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH PAUL COOKSEY (PRESIDENT)
(409) 892-8303
Entity
Organization
Contact information
Practice address
4037 EASTEX FREEWAY, BEAUMONT, TX 77706
(409) 892-8303
(409) 892-8306
Mailing address
4037 EASTEX FREEWAY, BEAUMONT, TX 77706
(409) 892-8303
(409) 892-8306
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3211020
AETNA
—
01
—
P00075579
RR MEDICARE
—
01
—
PL7087
BCBS
—
Enumeration date
12/08/2006
Last updated
08/22/2020
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