Healthcare Provider Details

I. General information

NPI: 1811237852
Provider Name (Legal Business Name): QUALITY SLEEP SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 S KELLY AVE B-1
EDMOND OK
73003-5659
US

IV. Provider business mailing address

11219 FINANCIAL CENTRE PKWY FINANCIAL PARK PLACE STE 102
LITTLE ROCK AR
72211-3800
US

V. Phone/Fax

Practice location:
  • Phone: 405-513-7054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: WILLIAM WEBB JR.
Title or Position: OWNER
Credential:
Phone: 405-532-3050