Healthcare Provider Details

I. General information

NPI: 1750837381
Provider Name (Legal Business Name): COMPREHENSIVE NEUROLOGICS AND SLEEP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 SAINT LANDRY ST SUITE 2B
LAFAYETTE LA
70506-3549
US

IV. Provider business mailing address

224 SAINT LANDRY ST SUITE 2B
LAFAYETTE LA
70506-3549
US

V. Phone/Fax

Practice location:
  • Phone: 337-235-4554
  • Fax: 337-235-4556
Mailing address:
  • Phone: 337-235-4554
  • Fax: 337-235-4556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AL PATIN
Title or Position: VICE PRESIDENT
Credential:
Phone: 337-289-8951