Organization
DFW SLEEP DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREJE AYO MD (PARTNER)
(817) 568-8411
Entity
Organization
Contact information
Practice address
11803 SOUTH FWY STE 311, BURLESON, TX 76028-7036
(817) 568-8411
Mailing address
11803 SOUTH FWY STE 311, BURLESON, TX 76028-7036
(817) 568-8411
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
N0617
TX
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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