Provider Demographics
NPI:1104120898
Name:TEXAS SLEEP CLINIC - SH
Entity type:Organization
Organization Name:TEXAS SLEEP CLINIC - SH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCAIL OFFI
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONAGHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-606-2727
Mailing Address - Street 1:PO BOX 268938
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8938
Mailing Address - Country:US
Mailing Address - Phone:405-606-2727
Mailing Address - Fax:405-606-7040
Practice Address - Street 1:320 E. PEYTON STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-0202
Practice Address - Country:US
Practice Address - Phone:903-893-8418
Practice Address - Fax:405-606-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty