Healthcare Provider Details

I. General information

NPI: 1033425772
Provider Name (Legal Business Name): PARK CITIES SLEEP CENTER, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 N CENTRAL EXPY
DALLAS TX
75231-2297
US

IV. Provider business mailing address

PO BOX 9
ROCKWALL TX
75087-0009
US

V. Phone/Fax

Practice location:
  • Phone: 817-581-6100
  • Fax: 415-795-4434
Mailing address:
  • Phone: 817-581-6100
  • Fax: 415-795-4434

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: MS. LORI S. AARON
Title or Position: CEO
Credential:
Phone: 903-227-1088