1871778407 NPI number — SLEEP SOLUTIONS OF SAN ANTONIO

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871778407 NPI number — SLEEP SOLUTIONS OF SAN ANTONIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP SOLUTIONS OF SAN ANTONIO
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:
1871778407
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 699
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISONVILLE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70447-0699
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-655-4400
Provider Business Mailing Address Fax Number:
210-655-4404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8800 VILLAGE DR
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78217-5412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-655-4400
Provider Business Practice Location Address Fax Number:
210-655-4404
Provider Enumeration Date:
01/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
JUNIUS
Authorized Official First Name:
JO
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOF OF BILLING & COLLECTIONS
Authorized Official Telephone Number:
985-875-7557

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0100006 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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