Organization
BIG BEND SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOHER L GURRU M.D. (MAJORITY STOCK HOLDER)
(432) 580-9700
Entity
Organization
Contact information
Practice address
387 IH 10 W, FORT STOCKTON, TX 79735-2700
(432) 336-7000
(432) 368-6434
Mailing address
PO BOX 4100, MIDLAND, TX 79704-4100
(432) 580-9700
(432) 580-9703
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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