Provider Demographics
NPI:1003084344
Name:SLEEP SOLUTIONS TULSA, LLC
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS TULSA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-455-7777
Mailing Address - Street 1:409 E. CALIFORNIA AVE.
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-4224
Mailing Address - Country:US
Mailing Address - Phone:405-949-0060
Mailing Address - Fax:405-949-0412
Practice Address - Street 1:7702 E. 91ST ST.
Practice Address - Street 2:SUITE 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:73104-6054
Practice Address - Country:US
Practice Address - Phone:918-398-6378
Practice Address - Fax:918-949-6514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKB5379Medicare PIN