Provider Demographics
NPI:1316016918
Name:PREMIER SLEEP LLC
Entity Type:Organization
Organization Name:PREMIER SLEEP LLC
Other - Org Name:PREMIER SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEYANIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-572-9654
Mailing Address - Street 1:111 NORTHPARK DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-2924
Mailing Address - Country:US
Mailing Address - Phone:361-572-9654
Mailing Address - Fax:361-485-2233
Practice Address - Street 1:111 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-2924
Practice Address - Country:US
Practice Address - Phone:361-572-9654
Practice Address - Fax:361-485-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPL7043OtherBLUE CROSS BLUE SHIELD
TX470001625OtherRAILROAD MEDICARE
TX088023901Medicaid
TX7094171OtherAETNA
TXFTS019Medicare PIN