Organization
DIGITRACE CARE SERVICES INC
Active
Other names
SleepMed
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NAUFUL (VP COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
2097 N COLLINS BLVD, SUITE 150A, RICHARDSON, TX 75080
(972) 239-3494
(972) 239-8107
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
(978) 536-6322
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085DC
BLUE CROSS
TX
05
—
126657903
—
TX
01
—
7618325
AETNA
—
01
—
PL7236
BLUE CROSS
TX
01
—
PL7237
BLUE CROSS
TX
Enumeration date
08/11/2006
Last updated
08/22/2018
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