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NPI Code Detail

MEDICARE: ABOUDIB ADVANCED SLEEP CENTER

MEDICARE: ABOUDIB ADVANCED SLEEP CENTER
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
1261QS1200XSleep Disorder Diagnostic Clinic/CenterTX

General Provider Information

NPI Number : 1407031735
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABOUDIB ADVANCED SLEEP CENTER
Provider Business Mailing Address
First Line : 3304 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-1108
Country : US
Telephone Number : 817-568-9200
Fax Number :
Provider Business Practice Location Address
First Line : 3304 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-1108
Country : US
Telephone Number : 817-568-9200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. TONY G. ABOUDIB
Credential : D.C.
Telephone Number : 817-568-9200
Provider Enumeration Date : 01/05/2008
Last Update Date : 01/05/2008

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Directions to “ABOUDIB ADVANCED SLEEP CENTER ” Practice Location

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