Provider Demographics
NPI: | 1578923934 |
---|---|
Name: | SLEEP CENTERS OF TEXAS |
Entity Type: | Organization |
Organization Name: | SLEEP CENTERS OF TEXAS |
Other - Org Name: | GREATER DALLAS LUNG AND SLEEP CLINIC |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT AND CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MICHAEL |
Authorized Official - Middle Name: | G |
Authorized Official - Last Name: | BAKER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 314-308-4879 |
Mailing Address - Street 1: | 2421 E TUDOR RD STE 102 |
Mailing Address - Street 2: | |
Mailing Address - City: | ANCHORAGE |
Mailing Address - State: | AK |
Mailing Address - Zip Code: | 99507-1166 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 907-677-8889 |
Mailing Address - Fax: | 907-677-8886 |
Practice Address - Street 1: | 601 S CLAY ST |
Practice Address - Street 2: | SUITE 107 |
Practice Address - City: | ENNIS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75119-5771 |
Practice Address - Country: | US |
Practice Address - Phone: | 972-878-7378 |
Practice Address - Fax: | 972-875-8289 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-02-29 |
Last Update Date: | 2021-04-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic |