Organization Active NPI

Milam Park Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • San Antonio, TX
National Provider Identifier
1558452375
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MILAM PARK SLEEP CENTER
Practice address
343 W Houston
Suite C-3
San Antonio, TX 78205
Phone
(210) 614-6000
Fax
(210) 614-7728
NPI assigned
Sep 27, 2006
Last updated
Jan 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
James M Andry, M.D.NPI 1316010986
Title
Owner
Phone
(210) 614-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

343 W Houston
Suite C-3
San Antonio, TX 78205

Mailing address

5290 Medical Dr
San Antonio, TX 78229-4849
Phone (210) 614-6000

Other identifiers 1

IdentifierTypeStateIssuer
1730764-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

343 W Houston St
Ste C-3
San Antonio, TX 78205
Phone (210) 227-0194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1558452375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-614-6000",
            "fax_number": "210-614-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON",
            "address_2": "SUITE C-3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78205",
            "telephone_number": "210-614-6000",
            "fax_number": "210-614-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAM PARK SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "ANDRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-6000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730764-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.