Healthcare Provider Details

I. General information

NPI: 1841448768
Provider Name (Legal Business Name): MEDICAL SLEEP SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 02/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 ROBBIE MINCE WAY
DESOTO TX
75115-2012
US

IV. Provider business mailing address

PO BOX 674015
DALLAS TX
75267-4015
US

V. Phone/Fax

Practice location:
  • Phone: 972-709-7190
  • Fax: 972-780-4796
Mailing address:
  • Phone: 972-709-7190
  • Fax: 972-780-4796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIGID BYRNE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: EDD, ANO-BC
Phone: 214-947-1837