Provider Demographics
NPI:1346590304
Name:SLEEP MEDICINE CONSULTANTS OF CENTRAL TEXAS, PLLC
Entity Type:Organization
Organization Name:SLEEP MEDICINE CONSULTANTS OF CENTRAL TEXAS, PLLC
Other - Org Name:SLEEP MEDICINE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHAVIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-420-9900
Mailing Address - Street 1:5929 BALCONES DR STE 303
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4286
Mailing Address - Country:US
Mailing Address - Phone:512-420-9900
Mailing Address - Fax:512-420-9944
Practice Address - Street 1:5929 BALCONES DR STE 303
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4286
Practice Address - Country:US
Practice Address - Phone:512-420-9900
Practice Address - Fax:512-420-9944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB16565Medicare PIN