Provider Demographics
NPI:1275969305
Name:DREAM DIAGNOSTIC SLEEP SERVICES, LLC
Entity Type:Organization
Organization Name:DREAM DIAGNOSTIC SLEEP SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:GUADALUPE
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-680-6688
Mailing Address - Street 1:500 HAZELNUT CT
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-0967
Mailing Address - Country:US
Mailing Address - Phone:817-680-6688
Mailing Address - Fax:817-796-1174
Practice Address - Street 1:500 HAZELNUT CT
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-0967
Practice Address - Country:US
Practice Address - Phone:817-680-6688
Practice Address - Fax:817-796-1174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic