Organization
WICHITA FALLS SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SASIDHAR PAMGANAMAMULA (CONSULTANT)
(765) 537-8696
Entity
Organization
Contact information
Practice address
601 E 2ND ST, SUITE E, ODESSA, TX 79761-5423
(432) 337-6669
(432) 337-6665
Mailing address
PO BOX 2406, ODESSA, TX 79760-2406
(432) 337-6669
(432) 337-6665
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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