Provider Demographics
NPI:1871229120
Name:SLEEP MEDICINE ASSOCIATES OF TEXAS, P.A.
Entity type:Organization
Organization Name:SLEEP MEDICINE ASSOCIATES OF TEXAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BURLIN
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-750-7776
Mailing Address - Street 1:5477 GLEN LAKES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4381
Mailing Address - Country:US
Mailing Address - Phone:214-750-7776
Mailing Address - Fax:214-750-4621
Practice Address - Street 1:2245 BRINKER RD STE 100
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-6175
Practice Address - Country:US
Practice Address - Phone:214-750-7776
Practice Address - Fax:214-750-4621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP MEDICINE ASSOCIATES OF TEXAS, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic