Provider Demographics
NPI:1023224391
Name:REST WORKS SLEEP CENTER
Entity Type:Organization
Organization Name:REST WORKS SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:III
Authorized Official - Credentials:CRT
Authorized Official - Phone:956-739-4586
Mailing Address - Street 1:4501 S EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7953
Mailing Address - Country:US
Mailing Address - Phone:956-428-1238
Mailing Address - Fax:
Practice Address - Street 1:4501 S EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7953
Practice Address - Country:US
Practice Address - Phone:956-428-1238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZE0500X246ZE0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty