Healthcare Provider Details

I. General information

NPI: 1578708566
Provider Name (Legal Business Name): FORNEY SLEEP LAB, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 07/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

763 E US HIGHWAY 80 SUITE 235
FORNEY TX
75126-8633
US

IV. Provider business mailing address

2504 RIDGE RD SUITE 108
ROCKWALL TX
75087-2569
US

V. Phone/Fax

Practice location:
  • Phone: 972-552-2690
  • Fax: 972-552-2652
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: 903-227-1088