Southern Institute of Sleep Medicine PLLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

SOUTHERN INSTITUTE OF SLEEP MEDICINE PLLC

Practice address

1611 N Belt Line Rd Ste C
Mesquite, TX 75149-1792

Phone

(214) 717-9040

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Angela Ferguson

Title

Administrator

Phone

(214) 717-9040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1548751035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 N BELT LINE RD STE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 N BELT LINE RD STE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491792",
            "telephone_number": "214-717-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INSTITUTE OF SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-717-9040"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Internal Medicine) Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Sleep Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.