Provider Demographics
NPI:1972756849
Name:ALPHA SLEEP LABS, INC
Entity Type:Organization
Organization Name:ALPHA SLEEP LABS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-785-9600
Mailing Address - Street 1:2700 S WESTERN ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1573
Mailing Address - Country:US
Mailing Address - Phone:063-313-3308
Mailing Address - Fax:068-331-3309
Practice Address - Street 1:2700 S WESTERN ST STE 1100
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1573
Practice Address - Country:US
Practice Address - Phone:806-331-3308
Practice Address - Fax:806-331-3309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNONE261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1513582-01Medicaid
TX1513582-01Medicaid