Provider Demographics
NPI:1841498615
Name:SLEEP CENTER OF PLANO, L.P.
Entity type:Organization
Organization Name:SLEEP CENTER OF PLANO, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CONTRACTING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELLI
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-285-4914
Mailing Address - Street 1:PO BOX 5576
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-5576
Mailing Address - Country:US
Mailing Address - Phone:405-285-4914
Mailing Address - Fax:
Practice Address - Street 1:400 MAPLELAWN CT STE 106
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5736
Practice Address - Country:US
Practice Address - Phone:972-596-8561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic