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Organization

NOCTURNA OF GRANBURY, 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
805 HILL BLVD, SUITE 107, GRANBURY, TX 76048-1481
(817) 573-9619
(817) 573-9264
Mailing address
PO BOX 248855, DEPT 22, OKLAHOMA CITY, OK 73124-8855
(405) 600-1950
(405) 600-1949

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
09/27/2007
Last updated
01/27/2011
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