Healthcare Provider Details

I. General information

NPI: 1275864092
Provider Name (Legal Business Name): SOMNOSOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 01/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 E STAN SCHLUETER LOOP SUITE 104
KILLEEN TX
76542-4516
US

IV. Provider business mailing address

PO BOX 303233
AUSTIN TX
78703-0054
US

V. Phone/Fax

Practice location:
  • Phone: 254-526-4134
  • Fax: 254-526-4862
Mailing address:
  • Phone: 512-697-9896
  • Fax: 512-697-9895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number261QS1200X
License Number StateTX

VIII. Authorized Official

Name: SHIRLEY ANN STURDIVANT
Title or Position: CEO
Credential:
Phone: 512-762-5612