# SLEEP MEDICINE INSTITUTE OF TEXAS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063750420
- **Authorized official:** DR. RAGHAVENDRA V GHUGE M.D., D,ABSM (PRESIDENT)
- **Authorized official phone:** (903) 787-7533

## Contact information

- **Practice address:** 3187 PALUXY DR, TYLER, TX 75701-8303
- **Practice address phone:** (903) 787-7533
- **Practice address fax:** (903) 787-8825
- **Mailing address:** 3187 PALUXY DR, TYLER, TX 75701-8303
- **Mailing address phone:** (903) 787-7533
- **Mailing address fax:** (903) 787-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 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