Fort Worth Sleep Labs

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

FORT WORTH SLEEP LABS

Practice address

4150 International PLZ Ste 600
Fort Worth, TX 76109-4831

Phone

(817) 290-2123

Fax

(817) 977-6083

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Brian Puente

Title

Vice President

Phone

(817) 290-2123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1821351180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-290-2123",
            "fax_number": "817-977-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-290-2123",
            "fax_number": "817-977-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH SLEEP LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-290-2123"
    },
    "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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• Fort Worth Senior Care, LLC (Lakewood Village Personal Care Unit)
• Fort Worth Skilled Care, LLC (Immanuels Healthcare)
• Fort Worth Sleep LLC
• Fort Worth Smile Studio P.L.L.C.
• Fort Worth Smilebar PLLC (Smile Ninja Dental)
• Fort Worth Snoring and Sleep Center LLC
• Fort Worth Speech and Lactation LLC

• Sleep Disorder Diagnostic Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

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