Provider Demographics
NPI:1467939058
Name:DREAMLAB SLEEP LAB
Entity type:Organization
Organization Name:DREAMLAB SLEEP LAB
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-428-7897
Mailing Address - Street 1:510 VICTORIA LN STE 1
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3231
Mailing Address - Country:US
Mailing Address - Phone:956-428-7897
Mailing Address - Fax:956-440-0395
Practice Address - Street 1:510 VICTORIA LN STE 1
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3231
Practice Address - Country:US
Practice Address - Phone:956-428-7897
Practice Address - Fax:956-440-0395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWNSVILLE PULMONARY CENTER, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-26
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8460207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty