Organization
NOCTURNA OF KELLER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS P ZEIDNER (PRESIDENT & CEO)
(763) 432-8401
Entity
Organization
Contact information
Practice address
3120 W SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6783
(817) 741-4520
(817) 741-4570
Mailing address
PO BOX 248855, DEPT 23, OKLAHOMA CITY, OK 73124-8855
(405) 600-1950
(405) 285-7127
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
02/02/2011
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