Provider Demographics
NPI:1447721360
Name:SLEEP HEALTH OF NORTH TEXAS LLC
Entity type:Organization
Organization Name:SLEEP HEALTH OF NORTH TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-917-1307
Mailing Address - Street 1:550 BAILEY AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-2159
Mailing Address - Country:US
Mailing Address - Phone:817-945-9151
Mailing Address - Fax:817-885-7417
Practice Address - Street 1:3720 REDSTONE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6512
Practice Address - Country:US
Practice Address - Phone:817-235-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty