Certified Sleep Medicine Diagnostic Center LLC
Clinic/Center, Sleep Disorder Diagnostic in Corpus Christi, TX. Organization (NPI-2).
NPI number1376893925
StatusActive
Last updated in NPPESMay 29, 2013
Details
- NPI
- 1376893925
- Entity type
- Organization (NPI-2)
- Legal business name
- Certified Sleep Medicine Diagnostic Center LLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2012
- Last updated
- May 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
Practice location
5402 Holly RdSuite 2102
Corpus Christi, TX 78411-4673
Phone 361-815-2301
Mailing address
5402 Holly RdSuite 2102
Corpus Christi, TX 78411-4673
Phone 361-815-2301
Authorized official
Roy Aguilar
President
3618152301
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