NPI age
9 years
Enumerated 2017-01-10
● Active Type 2 · Organization
Lakeside Sleep Center Llc
Lakeside Sleep Center Llc is 1 of 492 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wellman
Owner
Last NPPES update
2017-01-10
Source: monthly bulk 2026-05
How this organization compares
Across 492 active clinic/center providers in Texas.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 9% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-01Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
123 Blue Heron Dr, Ste 102
Montgomery, TX 773163192
Mailing address
123 Blue Heron Dr, Ste 102
Montgomery, TX 773163192
Authorized official
Cortnie Wellman
Owner
📞 9365821112
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Tony Deramus, DC Chiropractor NPI 1750494985
- Shelby Frazier, MA, LPC, LMFT-A Counselor NPI 1033927173
- Mika Moore, APRN Nurse Practitioner NPI 1851855985
- Matthew Snyder, OD Optometrist NPI 1487650628
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.