Provider Demographics
NPI:1386685717
Name:ALL VALLEY SLEEP CENTER, LLC
Entity Type:Organization
Organization Name:ALL VALLEY SLEEP CENTER, LLC
Other - Org Name:ALL VALLEY SLEEP CENTER, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:956-342-1632
Mailing Address - Street 1:PO BOX 985
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-0985
Mailing Address - Country:US
Mailing Address - Phone:956-702-9700
Mailing Address - Fax:956-702-9704
Practice Address - Street 1:5511 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5563
Practice Address - Country:US
Practice Address - Phone:956-971-5510
Practice Address - Fax:956-971-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183899701Medicaid
TXPL7160OtherBLUE CROSS & BLUE SHIELD OF TEXAS
TXPL7160OtherBLUE CROSS & BLUE SHIELD OF TEXAS