Healthcare Provider Details

I. General information

NPI: 1659720472
Provider Name (Legal Business Name): A TO ZZ SLEEP GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 06/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7430 N MESA ST BLDG A
EL PASO TX
79912-3504
US

IV. Provider business mailing address

7430 N MESA ST
EL PASO TX
79912-3504
US

V. Phone/Fax

Practice location:
  • Phone: 915-875-1801
  • Fax: 915-875-1516
Mailing address:
  • Phone: 915-875-1801
  • Fax: 915-875-1516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberQ7094
License Number StateTX

VIII. Authorized Official

Name: MRS. KARLA TAFOYA
Title or Position: BILLER AND CODING MANAGER
Credential:
Phone: 915-875-1801