Provider Demographics
NPI:1063601276
Name:COMFORT SLEEP CENTER,LLC
Entity type:Organization
Organization Name:COMFORT SLEEP CENTER,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIETRICH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-859-9598
Mailing Address - Street 1:6010 ELTON KNOLLS ST
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2308
Mailing Address - Country:US
Mailing Address - Phone:281-859-9598
Mailing Address - Fax:
Practice Address - Street 1:6010 ELTON KNOLLS ST
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2308
Practice Address - Country:US
Practice Address - Phone:281-859-9598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORT SLEEP CENTER,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory