Organization Active NPI

Wichita Falls Sleep Center LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Odessa, TX
National Provider Identifier
1528303047
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
WICHITA FALLS SLEEP CENTER LLC
Practice address
601 E 2ND St
Suite E
Odessa, TX 79761-5423
Phone
(432) 337-6669
Fax
(432) 337-6665
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Mr. Sasidhar Pamganamamula
Title
Consultant
Phone
(765) 537-8696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X Primary

Addresses

Primary practice location

601 E 2ND St
Suite E
Odessa, TX 79761-5423

Mailing address

PO Box 2406
Odessa, TX 79760-2406
Phone (432) 337-6669

National Provider Directory

National Provider Directory

Locations

601 E 2nd St
Ste E
Odessa, TX 79761
Phone (432) 337-6669

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1528303047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2406",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602406",
            "telephone_number": "432-337-6669",
            "fax_number": "432-337-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 2ND ST",
            "address_2": "SUITE E",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615423",
            "telephone_number": "432-337-6669",
            "fax_number": "432-337-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FALLS SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "PAMGANAMAMULA",
        "authorized_official_first_name": "SASIDHAR",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "765-537-8696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.