Organization
PERRY A SANFORD
Active
Other names
Quality Care Sleep Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY SANFORD RRT (OWNER)
(512) 670-1212
Entity
Organization
Contact information
Practice address
1620 GRAND AVENUE PKWY, SUITE 110, PFLUGERVILLE, TX 78660-2184
(512) 670-1212
(512) 670-1540
Mailing address
1620 GRAND AVENUE PKWY, SUITE 110, PFLUGERVILLE, TX 78660-2184
(512) 670-1212
(512) 670-1540
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
TX
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172335501
—
TX
01
—
531127
BCBS
TX
01
—
FTSP15
PTAN
TX
Enumeration date
12/14/2006
Last updated
02/07/2014
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