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Organization

SLEEP TELEMEDICINE SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANN C REYNOLDS (VP)
(800) 657-1920
Entity
Organization

Contact information

Practice address
910 W TERRELL AVE N, FORT WORTH, TX 76104-3034
(800) 657-1920
(817) 820-0430
Mailing address
908 W TERRELL AVE N, FORT WORTH, TX 76104-3034
(800) 657-1920
(817) 820-0430

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2369093
OH
01
P00098084
RR MEDICARE NY
NY
01
P00452376
RR MEDICARE KY
KY
01
P00995634
RR MEDICARE KY
KY
01
P01268066
RR MEDICARE FL
FL
01
P01273982
RR MEDICARE NV
NV
Enumeration date
08/01/2006
Last updated
04/04/2014
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