Provider Demographics
NPI:1508045451
Name:SOUTH TEXAS SLEEP DISORDER CLINIC
Entity Type:Organization
Organization Name:SOUTH TEXAS SLEEP DISORDER CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:S
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-814-7464
Mailing Address - Street 1:1201 E RIDGE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1531
Mailing Address - Country:US
Mailing Address - Phone:956-682-8685
Mailing Address - Fax:956-682-5005
Practice Address - Street 1:120 UPTOWN AVE
Practice Address - Street 2:STE. A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7559
Practice Address - Country:US
Practice Address - Phone:956-542-4645
Practice Address - Fax:956-542-8603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS083Medicare PIN