Organization
AUSTIN SLEEP DIAGNOSTIC CENTER INC
Active
Other names
Austin American Sleep Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN GOSSIP (PRESIDENT)
(800) 961-9668
Entity
Organization
Contact information
Practice address
1100 W 41ST ST, AUSTIN, TX 78756-3707
(512) 323-9253
(512) 323-9254
Mailing address
4490 BELTWAY DR, ADDISON, TX 75001-3705
(800) 961-9668
(972) 458-8224
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PL7067
BCBS PROVIDER NUMBER
TX
Enumeration date
05/29/2007
Last updated
08/22/2020
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