Gulf Coast Sleep Center and Diagnostics LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

GULF COAST SLEEP CENTER AND DIAGNOSTICS LLC

Practice address

107 W Way St Ste 19
Lake Jackson, TX 77566-5238

Phone

(979) 266-9497

Fax

(979) 266-9507

NPI assigned

Oct 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Holly Wagner

Title

Office/Billing Manager

Phone

(979) 266-9497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjay K Aggarwal, MD

  • Pulmonary Disease Physician
  • Lake Jackson, TX
  • NPI 1801878608
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1508409707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W WAY ST STE 19",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665238",
            "telephone_number": "979-266-9497",
            "fax_number": "979-266-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W WAY ST STE 19",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665238",
            "telephone_number": "979-266-9497",
            "fax_number": "979-266-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SLEEP CENTER AND DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "979-266-9497"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Gastroenterology Lab
• Gulf Coast Gastroenterology, PA
• Gulf Coast Med Supplies LLC
• Gulf Coast Plastic Surgery P a
• Gulf Coast Primary Home Care Inc
• Gulf Coast Sleep Center, L.P.
• Andrew Gunter, CRNA
• H-E-B, LP
• Diane Marie Haas, P.T.
• Leslie Ann Hagemeier, LMSW

• Sleep Disorder Diagnostic Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.