Organization
SOUTHWEST MEDICAL SUPPLY CO INC.
Active
Other names
Sleep Disorders Center of Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
MINNIE M HERNANDEZ (FACILITY ADMINISTRATOR)
(806) 793-3616
Entity
Organization
Contact information
Practice address
1126 SLIDE RD, SUITE 4B, LUBBOCK, TX 79416-5402
(806) 793-3616
(806) 793-3626
Mailing address
1126 SLIDE RD, SUITE 4B, LUBBOCK, TX 79416-5402
(806) 793-3616
(806) 793-3626
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1808214-01
—
TX
Enumeration date
07/04/2006
Last updated
04/23/2019
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