Provider Demographics
NPI:1740236108
Name:MEDICAL PLAZA CHILDRENS SLEEP CENTER, LTD
Entity Type:Organization
Organization Name:MEDICAL PLAZA CHILDRENS SLEEP CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE LOGISTICS LEADER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SORAYA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-552-6715
Mailing Address - Street 1:660 W SOUTHLAKE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6003
Mailing Address - Country:US
Mailing Address - Phone:817-552-6730
Mailing Address - Fax:
Practice Address - Street 1:10019 S MAIN ST
Practice Address - Street 2:SUITE A-9
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5209
Practice Address - Country:US
Practice Address - Phone:817-552-6730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic