Provider Demographics
NPI:1447566450
Name:SLEEP THERAPY & RESEARCH CENTER
Entity Type:Organization
Organization Name:SLEEP THERAPY & RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-614-6000
Mailing Address - Street 1:5290 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4849
Mailing Address - Country:US
Mailing Address - Phone:210-614-6000
Mailing Address - Fax:210-614-7728
Practice Address - Street 1:7430 BARLITE BLVD
Practice Address - Street 2:SUITE107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1365
Practice Address - Country:US
Practice Address - Phone:210-614-6000
Practice Address - Fax:210-614-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2842619-01Medicaid
TX2088056-01Medicaid