Organization
CERTIFIED SLEEP MEDICINE DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY AGUILAR RPSGT (PRESIDENT)
(361) 815-2301
Entity
Organization
Contact information
Practice address
5402 HOLLY RD, SUITE 2102, CORPUS CHRISTI, TX 78411-4673
(361) 815-2301
Mailing address
5402 HOLLY RD, SUITE 2102, CORPUS CHRISTI, TX 78411-4673
(361) 815-2301
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278605
PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
TX
Enumeration date
09/11/2012
Last updated
05/29/2013
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