1346474640 NPI number — SLEEP CENTERS OF TEXAS

Table of content: (NPI 1346474640)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346474640 NPI number — SLEEP CENTERS OF TEXAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP CENTERS OF TEXAS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346474640
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2421 E TUDOR RD STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99507-1166
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-677-8889
Provider Business Mailing Address Fax Number:
907-677-8886

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7839 W INTERSTATE 10
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78230-4779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-520-8333
Provider Business Practice Location Address Fax Number:
210-520-8335
Provider Enumeration Date:
05/14/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BAKER
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
G
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
314-308-4879

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)