Healthcare Provider Details

I. General information

NPI: 1720023526
Provider Name (Legal Business Name): GLOBAL SLEEP LAWTON LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 W GORE BLVD
LAWTON OK
73505-5977
US

IV. Provider business mailing address

8723 FALLBROOK DR
HOUSTON TX
77064-3318
US

V. Phone/Fax

Practice location:
  • Phone: 888-225-6167
  • Fax: 877-809-4922
Mailing address:
  • Phone: 281-550-0990
  • Fax: 281-550-0999

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: ALICIA LYNN GROFF
Title or Position: PRESIDENT
Credential:
Phone: 281-550-0990