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Organization
SLEEP MEDICINE INSTITUTE OF TEXAS, PA
Active
Organization
SLEEP MEDICINE INSTITUTE OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGHAVENDRA V GHUGE M.D., D,ABSM (PRESIDENT)
(903) 787-7533
Entity
Organization
Contact information
Practice address
3187 PALUXY DR, TYLER, TX 75701-8303
(903) 787-7533
(903) 787-8825
Mailing address
3187 PALUXY DR, TYLER, TX 75701-8303
(903) 787-7533
(903) 787-8825
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/19/2013
Last updated
06/27/2023
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