Organization
NOCTURNA OF WACO LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS P ZEIDNER (PRESIDENT & CEO)
(763) 432-8401
Entity
Organization
Contact information
Practice address
7106 SANGER AVE, WACO, TX 76712
(254) 399-6636
(254) 399-6939
Mailing address
PO BOX 248855, DEPT. # 26, OKLAHOMA CITY, OK 73124-8855
(405) 600-1950
(405) 600-1949
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040404 01
—
TX
Enumeration date
06/26/2008
Last updated
02/02/2011
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