1750501490 NPI number — C-O-P-D SLEEP LAB, LLC

Table of content: DR. JENNIFER REYNOLDS CARR DPT (NPI 1801101266)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750501490 NPI number — C-O-P-D SLEEP LAB, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C-O-P-D SLEEP LAB, LLC
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:
1750501490
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
303 E COLLEGE ST
Provider Second Line Business Mailing Address:
SUITE F
Provider Business Mailing Address City Name:
TERRELL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75160-2717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-563-7533
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
303 E COLLEGE ST
Provider Second Line Business Practice Location Address:
SUITE F
Provider Business Practice Location Address City Name:
TERRELL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75160-2717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-455-2885
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
JANACEK
Authorized Official First Name:
LORI
Authorized Official Middle Name:
JO
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
972-563-7533

Provider Taxonomy Codes

  • Taxonomy code: 293D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com