| Organization Name: | ODESSA SLEEP ASSOCIATES |
| NPI Number: | 1013155852 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANOHER GURRU (PRESIDENT) |
| Mailing Address: | 601 E 2nd St Suite E Odessa |
| State: | TX US |
| Postal Code: | 797615423 |
| Phone Number: | 4323376669 |
| Fax Number: | 4323376665 |
| NPI Enumeration Date: | 02/02/2009 |
| NPI Last Update Date: | 12/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | NONE REQUIRED |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |