Provider Demographics
NPI:1083360606
Name:PURE SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:PURE SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:YEPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MSD
Authorized Official - Phone:713-234-1810
Mailing Address - Street 1:927 STUDEWOOD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4744
Mailing Address - Country:US
Mailing Address - Phone:832-343-7094
Mailing Address - Fax:713-609-9434
Practice Address - Street 1:927 STUDEWOOD ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4744
Practice Address - Country:US
Practice Address - Phone:832-234-1810
Practice Address - Fax:713-609-9434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental