Healthcare Provider Details

I. General information

NPI: 1871750687
Provider Name (Legal Business Name): TOTAL SLEEP HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4412 SPICEWOOD SPRINGS RD BLDG 700, STE 701
AUSTIN TX
78759-8583
US

IV. Provider business mailing address

1425 GREENWAY DR SUITE 300
IRVING TX
75038-2447
US

V. Phone/Fax

Practice location:
  • Phone: 512-485-7150
  • Fax: 512-485-7782
Mailing address:
  • Phone: 469-499-5249
  • 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 J GUIDETTI
Title or Position: CEO
Credential:
Phone: 469-499-2857