Provider Demographics
NPI:1013445295
Name:ZZZ SLEEP MEDICINE SPECIALISTS PLLC
Entity Type:Organization
Organization Name:ZZZ SLEEP MEDICINE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANG
Authorized Official - Middle Name:YONG
Authorized Official - Last Name:KUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:469-878-3682
Mailing Address - Street 1:935 W EXCHANGE PKWY
Mailing Address - Street 2:BUILDING B, STE 130
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:469-908-3001
Mailing Address - Fax:469-908-3002
Practice Address - Street 1:935 W EXCHANGE PKWY
Practice Address - Street 2:BUILDING B, STE 130
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:469-908-3001
Practice Address - Fax:469-908-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RS0012X
TXL7786207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty