Basic Information
| Provider Information | |||||||||
| NPI: | 1336579846 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOCTORS SLEEP SERVICES OF NORTH TEXAS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 674026 | ||||||||
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| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752674026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724791115 | ||||||||
| FaxNumber: | 9723468015 | ||||||||
| Practice Location | |||||||||
| Address1: | 5601 GRANITE PKWY | ||||||||
| Address2: | SUITE 470 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750246654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4693626909 | ||||||||
| FaxNumber: | 2144944295 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2013 | ||||||||
| LastUpdateDate: | 11/19/2013 | ||||||||
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| AuthorizedOfficialLastName: | HOBBS | ||||||||
| AuthorizedOfficialFirstName: | GRADY | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 4693626909 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QS1200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic |
No ID Information.