Organization
HOME SLEEP DIAGNOSTICS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PETERS R.R.T. (PRESIDENT)
(806) 356-0009
Entity
Organization
Contact information
Practice address
3905 BELL ST, AMARILLO, TX 79109-4281
(806) 356-0009
Mailing address
PO BOX 51317, AMARILLO, TX 79159-1317
(806) 356-0009
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
59304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165263801
—
TX
01
—
PL7024
BCBS OF TEXAS PROVIDER #
TX
Enumeration date
10/16/2006
Last updated
12/08/2011
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