Provider Demographics
NPI:1386689180
Name:GLOBAL SLEEP WICHITA FALLS LP
Entity Type:Organization
Organization Name:GLOBAL SLEEP WICHITA FALLS LP
Other - Org Name:GLOBAL SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRISIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-550-0990
Mailing Address - Street 1:11200 RICHMOND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2637
Mailing Address - Country:US
Mailing Address - Phone:281-550-0990
Mailing Address - Fax:281-550-0999
Practice Address - Street 1:4822 KEMP BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-5222
Practice Address - Country:US
Practice Address - Phone:888-225-6167
Practice Address - Fax:877-809-4922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS126Medicare PIN