Active NPI
Wichita Falls Sleep Center LLC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Odessa, TX
National Provider Identifier
1528303047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 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 DirectoryLocations
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.