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Organization

DIAGNOSTIC SLEEP CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL DOMINGUEZ (COO)
(281) 802-1441
Entity
Organization

Contact information

Practice address
2327 E MULBERRY ST, ANGLETON, TX 77515-3804
(979) 849-7704
(979) 849-7734
Mailing address
2327 E HWY 35, ANGLETON, TX 77515
(979) 849-7704
(979) 849-7734

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156768701
TX
01
PL7079
BLUE CROSS BLUE SHEILD
TX
Enumeration date
10/05/2006
Last updated
02/25/2008
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