Organization
MILAM PARK SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M ANDRY M.D. (OWNER)
(210) 614-6000
Entity
Organization
Contact information
Practice address
343 W HOUSTON, SUITE C-3, SAN ANTONIO, TX 78205
(210) 614-6000
(210) 614-7728
Mailing address
5290 MEDICAL DR, SAN ANTONIO, TX 78229-4849
(210) 614-6000
(210) 614-7728
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730764-01
—
TX
Enumeration date
09/27/2006
Last updated
01/03/2012
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