Provider Demographics
NPI:1700951118
Name:FAMILY SLEEP DIAGNOSTICS
Entity Type:Organization
Organization Name:FAMILY SLEEP DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:STENGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-726-1550
Mailing Address - Street 1:318 BLANCO CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6036
Mailing Address - Country:US
Mailing Address - Phone:817-726-1550
Mailing Address - Fax:855-501-0111
Practice Address - Street 1:1717 PRECINCT LINE RD STE 105
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3169
Practice Address - Country:US
Practice Address - Phone:972-714-0011
Practice Address - Fax:855-501-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1041173F00000X
261QS1200X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Multi-Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty