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NPI Code Detail

MEDICARE: SOUTH DALLAS SLEEP CENTER LLC

MEDICARE: SOUTH DALLAS SLEEP CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS1201XSleep Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1225417918
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH DALLAS SLEEP CENTER LLC
Provider Business Mailing Address
First Line : 4808 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75227-2348
Country : US
Telephone Number : 214-388-4808
Fax Number :
Provider Business Practice Location Address
First Line : 4808 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75227-2348
Country : US
Telephone Number : 214-388-4808
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. FREDERICK T MONTESI
Credential :
Telephone Number : 305-791-2004
Provider Enumeration Date : 05/27/2015
Last Update Date : 05/27/2015

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Directions to “SOUTH DALLAS SLEEP CENTER LLC ” Practice Location

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