EAST SIDE SLEEP CENTER, LLC (NPI# 1194096982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194096982 |
Entity Type | Organization |
Organization Name | EAST SIDE SLEEP CENTER, LLC |
Other Organization Name | TOMBALL SLEEP CENTER |
Practice Address |
425 Holderrieth Blvd 210 Tomball TX 77375-4543 |
Mailing Address |
Po Box 2569 Stafford TX 77497-2569 |
Practice Telephone | 2812078889 |
Practice Fax Number | 7136600970 |
Mailing Telephone | 2812078800 |
Mailing Fax Number | 7136600970 |
Enumeration Date | 2012-01-25 |
Last Update Date | 2013-11-06 |
Authorized Official Name | MR. TODD RICHEY (PRESIDENT) |
Authorized Official Telephone | 7136641330 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE | TXB155001 | 01 |
TX | 318162001 | 05 |
Other Name | Type Code |
---|---|
Tomball Sleep Center | Doing Business As Name - Organization |
Street Address |
425 HOLDERRIETH BLVD 210 |
City | TOMBALL |
State | TX |
Zip Code | 77375-4543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568426153 | George J Murillo | Family Medicine | 425 Holderrieth Blvd, Ste 112, Tomball, TX 77375-4543 | 2006-04-12 |
1437775921 | Series A - A Series of Praxis Healthcare Holdings Series LLC | Clinic/Center | 425 Holderrieth Blvd, Tomball, TX 77375-4543 | 2020-06-19 |
1689161150 | Keniesha Miller | Nurse Practitioner | 425 Holderrieth Blvd, Suite 212, Tomball, TX 77375 | 2018-04-19 |
1093094989 | Tomball Mri, Inc | Clinic/Center | 425 Holderrieth Blvd, Suite 104, Tomball, TX 77375-4543 | 2011-08-09 |
1811206980 | Morning Light Counseling Services | Counselor | 425 Holderrieth Blvd, 203, Tomball, TX 77375-4543 | 2010-10-06 |
1942512892 | Harbor Hospice of Texas, Lp | Hospice Care, Community Based | 425 Holderrieth Blvd, Ste. 205a, Tomball, TX 77375-4543 | 2010-07-08 |
1497906150 | Indian Partners | Surgery | 425 Holderrieth Blvd, Suite 207, Tomball, TX 77375-4543 | 2008-09-30 |
1588840821 | George J Murillo, M.d., P.a. | Family Medicine | 425 Holderrieth Blvd, Suite # 112, Tomball, TX 77375-4543 | 2008-01-17 |
1548301310 | Jennifer Crosby | Nurse Practitioner | 425 Holderrieth Blvd, Suite 212, Tomball, TX 77375 | 2007-02-12 |
1053470120 | Tomball Foot and Ankle Center PC | Podiatrist | 425 Holderrieth Blvd, 100, Tomball, TX 77375-4543 | 2006-12-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
Find all providers in zip 77375 |
Taxonomy Code | 261QS1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Sleep Disorder Diagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871936484 | Tomball Sleep Diagnostic Center, Lp | Clinic/Center | 27721 Tomball Pkwy, Ste 500, Tomball, TX 77375-6411 | 2013-04-12 |
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 |
1508409707 | Gulf Coast Sleep Center and Diagnostics LLC | Clinic/Center | 107 W Way St Ste 19, Lake Jackson, TX 77566-5238 | 2019-10-21 |
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 |
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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.