Provider Demographics
NPI:1922120716
Name:SOPOREX SLEEP SOLUTIONS, INC.
Entity Type:Organization
Organization Name:SOPOREX SLEEP SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TOLLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-313-6260
Mailing Address - Street 1:9330 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE 367
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3436
Mailing Address - Country:US
Mailing Address - Phone:469-330-0615
Mailing Address - Fax:469-330-1432
Practice Address - Street 1:2504 RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2569
Practice Address - Country:US
Practice Address - Phone:972-771-1794
Practice Address - Fax:972-771-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic