# SOUTHERN INSTITUTE OF SLEEP MEDICINE PLLC

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

## Provider details

- **NPI number:** 1548751035
- **Authorized official:** ANGELA FERGUSON (ADMINISTRATOR)
- **Authorized official phone:** (214) 717-9040

## Contact information

- **Practice address:** 1611 N BELT LINE RD STE C, MESQUITE, TX 75149-1792
- **Practice address phone:** (214) 717-9040
- **Mailing address:** 1611 N BELT LINE RD STE C, MESQUITE, TX 75149-1792

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2018
- **Last updated:** 05/21/2018