Organization Name: | FIRST SLEEP LLC |
NPI Number: | 1306285507 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BURLIN LARRY BREWER (PRESIDENT/CEO) |
Mailing Address: | 9304 Masse Ct Providence Village |
State: | TX US |
Postal Code: | 762275723 |
Phone Number: | 9404359354 |
Fax Number: | 8667902813 |
NPI Enumeration Date: | 06/20/2013 |
NPI Last Update Date: | 06/20/2013 |
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: |