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MILAM PARK SLEEP CENTER NPI 1558452375


NPI Information

NPI: 1558452375
Provider Name: MILAM PARK SLEEP CENTER
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
343 W HOUSTON
SUITE C-3
SAN ANTONIO, TX
ZIP 78205
Phone: (210) 614-6000
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MILAM PARK SLEEP CENTER is a sleep disorder diagnostic clinic center in San Antonio, TX. MILAM PARK SLEEP CENTER NPI is 1558452375. The provider is registered as an organization entity type.

The provider's business location address is:

343 W HOUSTON
SUITE C-3
SAN ANTONIO, TX
ZIP 78205
Phone: (210) 614-6000
Fax: (210) 614-7728

The provider's authorized official is James M Andry .
The authorized official title is Owner and has the following contact phone number (210) 614-6000.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 1/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryNo
2261QS1200XClinic/CenterSleep Disorder DiagnosticYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FTS079MEDICARE PIN
21730764-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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