Southeast Texas Sleep Diagnostics LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SOUTHEAST TEXAS SLEEP DIAGNOSTICS LLC

Practice address

1112 N. Highway 69
Suite a
Nederland, TX 77627

Phone

(409) 727-7122

Fax

(409) 727-8080

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harley R. Metcalfe

Title

Vice President

Phone

(913) 706-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Paul Q Proffitt, D.O.

  • Neurology Physician
  • Port Arthur, TX
  • NPI 1154308989
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1699843748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N. HIGHWAY 69",
            "address_2": "SUITE A",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-727-7122",
            "fax_number": "409-727-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N. HIGHWAY 69",
            "address_2": "SUITE A",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-727-7122",
            "fax_number": "409-727-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS SLEEP DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "METCALFE",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "913-706-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PL7097",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Sorrell, M.S., CCC-SLP
• Southeast Texas Dermatology Clinic, PLLC
• Southeast Texas Nephrology Associates PA
• Southeast Texas Neurology,PA (Medical Neurology)
• Southeast Texas Pediatric Center PA
• Kristi Breanne Sparkman, DDS
• Kent E Stahl, DPM
• Lacin Stansbury, NP
• Stateserv Medical of Texas, LLC
• Jessica Marie Stephens, FNP-C

• Sleep Disorder Diagnostic Clinic/Center in Nederland, TX
• Providers in Nederland, 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 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.