Provider Demographics
NPI:1295290823
Name:DR. DRAKES SLEEP SOLUTIONS CORPORATION
Entity type:Organization
Organization Name:DR. DRAKES SLEEP SOLUTIONS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:D D S
Authorized Official - Phone:210-541-9001
Mailing Address - Street 1:14603 HUEBNER RD BLDG 4
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5473
Mailing Address - Country:US
Mailing Address - Phone:210-541-9001
Mailing Address - Fax:210-579-7200
Practice Address - Street 1:14603 HUEBNER RD BLDG 4
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5473
Practice Address - Country:US
Practice Address - Phone:210-541-9001
Practice Address - Fax:210-579-7200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. DRAKE'S SLEEP SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-07
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty