Provider Demographics
NPI:1891947792
Name:ELSA SLEEP CENTER, LLC
Entity Type:Organization
Organization Name:ELSA SLEEP CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:CRT/RCP
Authorized Official - Phone:956-272-9844
Mailing Address - Street 1:PO BOX 2130
Mailing Address - Street 2:
Mailing Address - City:ELSA
Mailing Address - State:TX
Mailing Address - Zip Code:78543-2130
Mailing Address - Country:US
Mailing Address - Phone:956-262-8868
Mailing Address - Fax:956-661-8005
Practice Address - Street 1:701 E EDINBURG AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ELSA
Practice Address - State:TX
Practice Address - Zip Code:78543-9999
Practice Address - Country:US
Practice Address - Phone:956-262-8868
Practice Address - Fax:956-661-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory