GULF COAST SLEEP CENTER AND DIAGNOSTICS LLC (NPI# 1508409707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508409707 |
| Entity Type | Organization |
| Organization Name | GULF COAST SLEEP CENTER AND DIAGNOSTICS LLC |
| Practice Address |
107 W Way St Ste 19 Lake Jackson TX 77566-5238 |
| Practice Telephone | 9792669497 |
| Practice Fax Number | 9792669507 |
| Mailing Telephone | 9792669497 |
| Mailing Fax Number | 9792669507 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | HOLLY WAGNER (OFFICE/BILLING MANAGER) |
| Authorized Official Telephone | 9792669497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
107 W WAY ST STE 19 |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902343056 | Dale Heathcock | Clinic/Center | 107 W Way St, Suite 19-20, Lake Jackson, TX 77566-5219 | 2017-01-27 |
| 1760628523 | Gulf Coast Sleep Center, L.p. | Clinic/Center | 107 W Way St, Ste. 19, Lake Jackson, TX 77566-5219 | 2008-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345237 | Sleep Specialties, LLC | Clinic/Center | 2200 Physicians Blvd Ste B, Ennis, TX 75119-6248 | 2020-10-29 |
| 1841815461 | Sleep Associates of America LLC | Clinic/Center | 5508 Parkcrest Dr Ste 200, Austin, TX 78731-4929 | 2020-06-09 |
| 1326669136 | Well Rested Diagnostics | Clinic/Center | 3310 Katy Fwy Ste 390, Houston, TX 77007-3603 | 2020-05-03 |
| 1164042784 | Dallas County Hospital District | Clinic/Center | 1341 W Mockingbird Ln Ste 300e, Dallas, TX 75247-4935 | 2020-04-23 |
| 1093351140 | Neuro-sleep Solutions LLC | Clinic/Center | 2710 Mangum Road, Building 2, Houston, TX 77092 | 2019-11-25 |
| 1992341432 | Renuyou Sleep and Wellness LLC | Clinic/Center | 401 W Fairmont Pkwy Ste F, La Porte, TX 77571-6314 | 2019-11-19 |
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1124595673 | Fantastic Sleep Studies Solutions & Supplies, LLC | Clinic/Center | 18911 Hardy Oak Blvd Ste 229, San Antonio, TX 78258-4967 | 2018-11-01 |
| 1104393586 | James M Andry Md Pa | Clinic/Center | 19222 Stonehue Ste 105a, San Antonio, TX 78258-3453 | 2018-10-24 |
| 1194239988 | Addison Syndicated Labs | Clinic/Center | 4643 Westgrove Dr, Addison, TX 75001-3216 | 2017-12-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
Please comment or provide details below to improve the information on GULF COAST SLEEP CENTER AND DIAGNOSTICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.