Provider Demographics
NPI:1669470571
Name:SLEEPWALKER LLC
Entity Type:Organization
Organization Name:SLEEPWALKER LLC
Other - Org Name:SLEEPWALKER SLEEP DISORDERS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:C
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:210-614-1466
Mailing Address - Street 1:4410 MEDICAL DR
Mailing Address - Street 2:STE 150
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6306
Mailing Address - Country:US
Mailing Address - Phone:210-614-1466
Mailing Address - Fax:210-614-1522
Practice Address - Street 1:4410 MEDICAL DR
Practice Address - Street 2:STE 150
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6306
Practice Address - Country:US
Practice Address - Phone:210-614-1466
Practice Address - Fax:210-614-1522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS034Medicare ID - Type Unspecified