Provider Demographics
NPI:1275864092
Name:SOMNOSOLUTIONS, INC.
Entity Type:Organization
Organization Name:SOMNOSOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STURDIVANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-762-5612
Mailing Address - Street 1:PO BOX 303233
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-0054
Mailing Address - Country:US
Mailing Address - Phone:512-697-9896
Mailing Address - Fax:512-697-9895
Practice Address - Street 1:3901 E STAN SCHLUETER LOOP
Practice Address - Street 2:SUITE 104
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-4516
Practice Address - Country:US
Practice Address - Phone:254-526-4134
Practice Address - Fax:254-526-4862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QS1200X261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic