Provider Demographics
NPI:1639754021
Name:SLEEP NEURO ACTIVE PATIENT CARE LLC
Entity Type:Organization
Organization Name:SLEEP NEURO ACTIVE PATIENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-618-1676
Mailing Address - Street 1:3010 LEGACY DR STE 130B
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6281
Mailing Address - Country:US
Mailing Address - Phone:214-618-1676
Mailing Address - Fax:214-618-1483
Practice Address - Street 1:3010 LEGACY DR STE 130B
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6281
Practice Address - Country:US
Practice Address - Phone:214-618-1676
Practice Address - Fax:214-618-1483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0010XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySports MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty