Healthcare Provider Details

I. General information

NPI: 1174783625
Provider Name (Legal Business Name): METRO SLEEP CENTER EAST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12640 E NORTHWEST HWY SUITE 406
DALLAS TX
75228-8015
US

IV. Provider business mailing address

2504 RIDGE RD SUITE 108
ROCKWALL TX
75087-2569
US

V. Phone/Fax

Practice location:
  • Phone: 972-722-4045
  • Fax: 972-722-4087
Mailing address:
  • Phone: 972-722-4045
  • Fax: 972-722-4087

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: 972-722-4045