| Organization Name: | KINGSVILLE SLEEP CLINIC, LLC |
| NPI Number: | 1235449232 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRET WORLEY (ADMINISTRATOR) |
| Mailing Address: | 2511 E Corral Ave Suite B Kingsville |
| State: | TX US |
| Postal Code: | 783634101 |
| Phone Number: | 3617232130 |
| Fax Number: | 3617232131 |
| NPI Enumeration Date: | 10/12/2010 |
| NPI Last Update Date: | 10/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |