Provider Demographics
NPI:1497048466
Name:SOMNOLOGIX
Entity Type:Organization
Organization Name:SOMNOLOGIX
Other - Org Name:4 BETTER SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JORY
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-466-7222
Mailing Address - Street 1:8722 GREENVILLE AVE
Mailing Address - Street 2:BLDG. E, SUITE102 LB11
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7167
Mailing Address - Country:US
Mailing Address - Phone:214-466-7222
Mailing Address - Fax:214-466-7220
Practice Address - Street 1:8722 GREENVILLE AVE
Practice Address - Street 2:BLDG. E, SUITE102 LB11
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7167
Practice Address - Country:US
Practice Address - Phone:214-466-7222
Practice Address - Fax:214-466-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic