Organization Name: | SLEEP SOLUTIONS TULSA, LLC |
NPI Number: | 1003084344 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRYAN L DALTON (MANAGING MEMBER) |
Mailing Address: | 7702 E. 91st St. Suite 200 Tulsa |
State: | OK US |
Postal Code: | 731046054 |
Phone Number: | 9183986378 |
Fax Number: | 9189496514 |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |