Provider Demographics
NPI:1770522682
Name:OMEGA SLEEP CENTER
Entity type:Organization
Organization Name:OMEGA SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:956-504-9361
Mailing Address - Street 1:735 MEDIA LUNA ST
Mailing Address - Street 2:STE B
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8855
Mailing Address - Country:US
Mailing Address - Phone:956-504-9361
Mailing Address - Fax:956-504-9375
Practice Address - Street 1:735 MEDIA LUNA ST
Practice Address - Street 2:STE B
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8855
Practice Address - Country:US
Practice Address - Phone:956-504-9361
Practice Address - Fax:956-504-9375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS090Medicare ID - Type Unspecified