Healthcare Provider Details

I. General information

NPI: 1982757472
Provider Name (Legal Business Name): SLEEP CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2941 OAK PARK CIR STE 200
FORT WORTH TX
76109-1852
US

IV. Provider business mailing address

2941 OAK PARK CIR STE 200
FORT WORTH TX
76109-1852
US

V. Phone/Fax

Practice location:
  • Phone: 817-332-7433
  • Fax: 817-394-6282
Mailing address:
  • Phone: 817-332-7433
  • Fax: 817-394-6282

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: JOHN R BURK
Title or Position: OWNER
Credential: MD
Phone: 817-332-7433