Nocturna of Granbury, LP

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

NOCTURNA OF GRANBURY, LP

Practice address

805 Hill Blvd
Suite 107
Granbury, TX 76048-1481

Phone

(817) 573-9619

Fax

(817) 573-9264

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lewis P Zeidner

Title

President & Ceo

Phone

(763) 432-8401

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1275720765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248855",
            "address_2": "DEPT 22",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248855",
            "telephone_number": "405-600-1950",
            "fax_number": "405-600-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HILL BLVD",
            "address_2": "SUITE 107",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481481",
            "telephone_number": "817-573-9619",
            "fax_number": "817-573-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOCTURNA OF GRANBURY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "ZEIDNER",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "763-432-8401"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.