Healthcare Provider Details

I. General information

NPI: 1053460675
Provider Name (Legal Business Name): SUNSET SLEEP CENTER, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 5TH ST STE A
SANTA FE NM
87505-6012
US

IV. Provider business mailing address

1919 5TH ST STE A
SANTA FE NM
87505-6012
US

V. Phone/Fax

Practice location:
  • Phone: 505-438-3101
  • Fax: 505-474-6525
Mailing address:
  • Phone: 505-438-3101
  • Fax: 505-474-6525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS B THOMASON
Title or Position: OWNER
Credential: MD
Phone: 505-438-3101