Organization
PREMIER SLEEP LLC
Active
Other names
Premier Sleep Disorders Center, Premier Sleep Disorders Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEYANIRA MORGAN (PRESIDENT)
(361) 572-9654
Entity
Organization
Contact information
Practice address
111 NORTHPARK DR, VICTORIA, TX 77901-2924
(361) 572-9654
(361) 485-2233
Mailing address
111 NORTHPARK DR, VICTORIA, TX 77901-2924
(361) 572-9654
(361) 485-2233
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088023901
—
TX
01
—
470001625
RAILROAD MEDICARE
TX
01
—
7094171
AETNA
TX
01
—
PL7043
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/07/2006
Last updated
09/18/2025
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