Provider Demographics
NPI:1407166069
Name:LAREDO SLEEP CENTER, LLC
Entity Type:Organization
Organization Name:LAREDO SLEEP CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMARO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-489-2076
Mailing Address - Street 1:2344 LAGUNA DEL MAR CT
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3470
Mailing Address - Country:US
Mailing Address - Phone:956-489-2076
Mailing Address - Fax:956-727-5201
Practice Address - Street 1:2344 LAGUNA DEL MAR
Practice Address - Street 2:SUITE 205
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6382
Practice Address - Country:US
Practice Address - Phone:956-489-2076
Practice Address - Fax:956-727-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic