Provider Demographics
NPI:1760490817
Name:COPD SLEEP CENTER, LLC
Entity Type:Organization
Organization Name:COPD SLEEP CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:GILLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-455-2885
Mailing Address - Street 1:4511 STONEWALL ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-5951
Mailing Address - Country:US
Mailing Address - Phone:903-455-2885
Mailing Address - Fax:903-455-2880
Practice Address - Street 1:4511 STONEWALL ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-5951
Practice Address - Country:US
Practice Address - Phone:903-455-2885
Practice Address - Fax:903-455-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory