Provider Demographics
NPI:1174925473
Name:SAN ANTONIO SLEEP PARTNERS AND ASSOCIATES
Entity type:Organization
Organization Name:SAN ANTONIO SLEEP PARTNERS AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-519-1116
Mailing Address - Street 1:8202 N LOOP 1604 W
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2897
Mailing Address - Country:US
Mailing Address - Phone:210-694-5600
Mailing Address - Fax:210-694-5610
Practice Address - Street 1:8202 N LOOP 1604 W
Practice Address - Street 2:STE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2897
Practice Address - Country:US
Practice Address - Phone:210-694-5600
Practice Address - Fax:210-694-5610
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN ANTONIO SLEEP PARTNERS AND ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-18
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230231223G0001X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty