Provider Demographics
NPI:1134920911
Name:LUCID SLEEP DOCTORS, PLLC
Entity type:Organization
Organization Name:LUCID SLEEP DOCTORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AKRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-709-3321
Mailing Address - Street 1:2105 SIDNEY BAKER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-2563
Mailing Address - Country:US
Mailing Address - Phone:210-899-6730
Mailing Address - Fax:
Practice Address - Street 1:2105 SIDNEY BAKER ST STE 200
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-2563
Practice Address - Country:US
Practice Address - Phone:210-899-6730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty