Organization
HUNTSVILLE SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIMITRIOS SPIROS MANTZOROS (CHIEF EXECUTIVE OFFICER)
(936) 293-8883
Entity
Organization
Contact information
Practice address
122 MEDICAL PARK LANE, SUITE B, HUNTSVILLE, TX 77340-4971
(936) 293-8883
Mailing address
122 MEDICAL PARK LANE, SUITE B, HUNTSVILLE, TX 77340-4971
(936) 293-8883
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
09/14/2010
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