Organization
VITAL SLEEP, LLC
Active
Other names
Wellnecessities of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
LEA DESMARTEAU (CEO)
(318) 222-0885
Entity
Organization
Contact information
Practice address
9707 ANDERSON MILL RD, SUITE 150, AUSTIN, TX 78750-2298
(318) 222-0885
(318) 222-0883
Mailing address
8835 LINE AVE, SUITE 500, SHREVEPORT, LA 71106-6722
(318) 222-0885
(318) 222-0883
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
0076806
TX
Other
Enumeration date
01/12/2007
Last updated
05/12/2014
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