# VITAL SLEEP OF AUSTIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VitalSleep of Austin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124375688
- **Authorized official:** MRS. DEANNA LYNN KILE (COMPLIANCE COORDINATOR)
- **Authorized official phone:** (318) 222-0885

## Contact information

- **Practice address:** 9901 W IH 10 STE 800, SAN ANTONIO, TX 78230-2292
- **Practice address phone:** (318) 222-0885
- **Practice address fax:** (512) 901-1986
- **Mailing address:** 8835 LINE AVE, SUITE 500, SHREVEPORT, LA 71106-6722
- **Mailing address phone:** (318) 222-0885
- **Mailing address fax:** (318) 222-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2011090631BP | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/14/2012
- **Last updated:** 08/26/2024