Organization
SOUTHERN INSTITUTE OF SLEEP MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FERGUSON (ADMINISTRATOR)
(214) 717-9040
Entity
Organization
Contact information
Practice address
1611 N BELT LINE RD STE C, MESQUITE, TX 75149-1792
(214) 717-9040
Mailing address
1611 N BELT LINE RD STE C, MESQUITE, TX 75149-1792
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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