Provider Demographics
NPI:1508136318
Name:TEXAS SAM HOLDINGS, LLC
Entity Type:Organization
Organization Name:TEXAS SAM HOLDINGS, LLC
Other - Org Name:SLEEP CENTERS OF TEXAS DFW
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DORRINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, FNP-C
Authorized Official - Phone:214-827-0330
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 1055
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-827-0330
Mailing Address - Fax:214-827-2860
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE 1055
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-827-0330
Practice Address - Fax:214-827-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies