Provider Demographics
NPI:1457907412
Name:SERNA SLEEP CENTER
Entity Type:Organization
Organization Name:SERNA SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-973-0118
Mailing Address - Street 1:952 ECHO LN STE 470
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2817
Mailing Address - Country:US
Mailing Address - Phone:713-253-6600
Mailing Address - Fax:
Practice Address - Street 1:952 ECHO LN STE 470
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2817
Practice Address - Country:US
Practice Address - Phone:713-253-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERNA SLEEP CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies