1912942715 NPI number — GLOBAL SLEEP SAN ANGELO LP

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 1912942715 NPI number — GLOBAL SLEEP SAN ANGELO LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL SLEEP SAN ANGELO LP
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:
1912942715
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8723 FALLBROOK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77064-3318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-550-0990
Provider Business Mailing Address Fax Number:
281-550-0999

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3228 SHERWOOD WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANGELO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76901-3522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-225-6167
Provider Business Practice Location Address Fax Number:
877-809-4922
Provider Enumeration Date:
06/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GROFF
Authorized Official First Name:
ALICIA
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-550-0990

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)