Organization
TEXAS SLEEP CLINIC - BT PLLC
Active
Other names
Texas Sleep Clinic-BT PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DONAGHUE (CHEIF FINANCIAL OFFICER)
(405) 606-2727
Entity
Organization
Contact information
Practice address
810 HOSPITAL DR STE 235, BEAUMONT, TX 77701-4654
(409) 790-7841
(409) 813-2382
Mailing address
13901 TECHNOLOGY DR, OKLAHOMA CITY, OK 73134-1052
(405) 606-2727
(405) 606-7040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DU8610
GROUP PTAN
—
01
—
OOH54K
MEDICARE PTAN
TX
Enumeration date
08/24/2011
Last updated
09/19/2022
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