Provider Demographics
NPI:1568749091
Name:SUN DIAGNOSTICS LP
Entity Type:Organization
Organization Name:SUN DIAGNOSTICS LP
Other - Org Name:SLEEP CENTER OF WEST TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PRASANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATHYALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-689-4400
Mailing Address - Street 1:4400 N MIDLAND DR
Mailing Address - Street 2:SUITE 506
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-3385
Mailing Address - Country:US
Mailing Address - Phone:432-689-4400
Mailing Address - Fax:432-689-4401
Practice Address - Street 1:4400 N MIDLAND DR
Practice Address - Street 2:SUITE 506
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-3385
Practice Address - Country:US
Practice Address - Phone:432-689-4400
Practice Address - Fax:432-689-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic