Organization
BARIATRIC SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GOODALE (MEMBER)
(214) 932-6202
Entity
Organization
Contact information
Practice address
3635 BROADWAY BLVD STE C, GARLAND, TX 75043-1675
(214) 932-6202
Mailing address
3635 BROADWAY BLVD STE C, GARLAND, TX 75043-1675
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
32040572821
TX
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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