Organization
WELLNESS IN SLEEP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN C REYNOLDS (VP)
(817) 820-0427
Entity
Organization
Contact information
Practice address
908 W TERRELL AVE N, FORT WORTH, TX 76104-3034
(817) 820-0427
(271) 820-0430
Mailing address
908 W TERRELL AVE N, FORT WORTH, TX 76104-3034
(817) 820-0427
(271) 820-0430
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568401594
NPI
TX
Enumeration date
03/28/2007
Last updated
04/07/2008
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