Basic Information
| Provider Information | |||||||||
| NPI: | 1326656349 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SLEEP APNEA GURUS PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6868 SAN PEDRO AVE | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782167201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104510000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6868 SAN PEDRO AVE | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782167201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104510000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2020 | ||||||||
| LastUpdateDate: | 03/19/2021 | ||||||||
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| AuthorizedOfficialLastName: | FERGUSON | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | BURTON | ||||||||
| AuthorizedOfficialTitleorPosition: | DENTIST/ORTHO | ||||||||
| AuthorizedOfficialTelephone: | 2107254646 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DDS | ||||||||
| NPICertificationDate: | 03/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | N | 193200000X MULTI-SPECIALTY GROUP | Dental Providers | Dentist | 1223X0400X | N | 193200000X MULTI-SPECIALTY GROUP | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.