1063208700 NPI number — SLEEP BETTER AUSTIN TREATMENT PLLC

Table of content: MRS. JAMIE LEIGH GRUBER MSED (NPI 1831459528)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063208700 NPI number — SLEEP BETTER AUSTIN TREATMENT PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP BETTER AUSTIN TREATMENT PLLC
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:
1063208700
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4009 BANISTER LN STE 370
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78704-7040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-215-4350
Provider Business Mailing Address Fax Number:
512-647-6367

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 E RANCIER AVE STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KILLEEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76543-3450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-215-4350
Provider Business Practice Location Address Fax Number:
512-647-6367
Provider Enumeration Date:
04/18/2025

Additional Information

Authorized Official

Authorized Official Last Name:
CANTRELL
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE MANAGER
Authorized Official Telephone Number:
512-215-4350

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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