Provider Demographics
NPI:1770629883
Name:SLEEP CENTER OF LUBBOCK
Entity Type:Organization
Organization Name:SLEEP CENTER OF LUBBOCK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-285-4914
Mailing Address - Street 1:PO BOX 5576
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-5576
Mailing Address - Country:US
Mailing Address - Phone:405-285-4914
Mailing Address - Fax:405-285-7127
Practice Address - Street 1:7202 SLIDE RD STE 200
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2553
Practice Address - Country:US
Practice Address - Phone:806-783-8566
Practice Address - Fax:806-783-8475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic