Provider Demographics
NPI:1588967426
Name:HUMBLE DREAMS SLEEP CENTER, LLC
Entity type:Organization
Organization Name:HUMBLE DREAMS SLEEP CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:328-768-0703
Mailing Address - Street 1:28533 SPRING TRAILS RDG STE 220-C
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4355
Mailing Address - Country:US
Mailing Address - Phone:832-791-4150
Mailing Address - Fax:832-764-7656
Practice Address - Street 1:28533 SPRING TRAILS RDG STE 220-C
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4355
Practice Address - Country:US
Practice Address - Phone:832-791-4150
Practice Address - Fax:832-764-7656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic