Provider Demographics
NPI:1558396549
Name:SLEEPY ANESTHESIA ASSOCIATES PLLC
Entity Type:Organization
Organization Name:SLEEPY ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-725-3595
Mailing Address - Street 1:364 PRIVATE RD 8581
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-8092
Mailing Address - Country:US
Mailing Address - Phone:903-725-3595
Mailing Address - Fax:903-725-3599
Practice Address - Street 1:719 W COKE RD
Practice Address - Street 2:PRESBYTERIAN HOSPITAL WINNSBORO
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494
Practice Address - Country:US
Practice Address - Phone:903-342-5227
Practice Address - Fax:903-342-4121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C34TOtherBLUE CROSS BLUE SHIELD
TX00C34TOtherBLUE CROSS BLUE SHIELD
00978UMedicare ID - Type Unspecified