Alice Sleep Lab Inc
Organization Active NPI Sleep Disorder Diagnostic Clinic/Center · Alice, TX
NPI 1265586689 · NPPES record last updated Jan 5, 2015
Key facts
- NPI
- 1265586689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center 261QS1200X
- Legal business name
- ALICE SLEEP LAB INC
- Practice address
- 411 Flournoy Rd
Ste 200
Alice, TX 78332-4084 - Phone
- (361) 664-1042
- Fax
- (361) 664-1091
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Ruben Medina, CRTT
- Title
- Manager
- Phone
- (361) 664-1042
National Provider Directory
Locations
501 Flournoy Rd
Alice, TX 78332
Phone (361) 664-1042
411 Flournoy Rd
Ste 200
Alice, TX 78332
Phone (361) 453-4007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Yes |
Addresses
Primary practice location
411 Flournoy Rd
Ste 200
Alice, TX 78332-4084
Mailing address
PO Box 7751
Corpus Christi, TX 78467-7751
Phone (361) 664-1042
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162589901 | Medicaid | TX | |
| PL7181 | Other | TX | BCBS |
Other providers in Alice, TX
- Alice II Enterprises, LLC
- Alice III Enterprises, LLC
- Alice Independent School District
- Alice Medical and Diagnostic Center, P.a.
- Alice OBGYN Specialty Clinic, PA
- Debra Kaye Alvarado
- Valerie Alvarado
- Austi Marie Alvarez
- Leonor Alvarez
- Karen Eliza Amacio
All providers in Alice, TX · Sleep Disorder Diagnostic Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.