Provider Demographics
NPI:1750837381
Name:COMPREHENSIVE NEUROLOGICS AND SLEEP
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROLOGICS AND SLEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-289-8951
Mailing Address - Street 1:224 SAINT LANDRY ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3549
Mailing Address - Country:US
Mailing Address - Phone:337-235-4554
Mailing Address - Fax:337-235-4556
Practice Address - Street 1:224 SAINT LANDRY ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3549
Practice Address - Country:US
Practice Address - Phone:337-235-4554
Practice Address - Fax:337-235-4556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic