Provider Demographics
NPI:1841237708
Name:SWEET DREAMS SLEEP LAB
Entity Type:Organization
Organization Name:SWEET DREAMS SLEEP LAB
Other - Org Name:SWEET DREAMS SLEEP LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CRUZ-HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-658-4407
Mailing Address - Street 1:PO BOX 151911
Mailing Address - Street 2:
Mailing Address - City:WHITE SETTLEMENT
Mailing Address - State:TX
Mailing Address - Zip Code:76108-5911
Mailing Address - Country:US
Mailing Address - Phone:817-658-4407
Mailing Address - Fax:817-246-9480
Practice Address - Street 1:6618 BRYANT IRVIN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4217
Practice Address - Country:US
Practice Address - Phone:817-658-4407
Practice Address - Fax:817-246-9480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic