Healthcare Provider Details
I. General information
NPI: 1326656349
Provider Name (Legal Business Name): SLEEP APNEA GURUS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2020
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6868 SAN PEDRO AVE
SAN ANTONIO TX
78216-7201
US
IV. Provider business mailing address
6868 SAN PEDRO AVE
SAN ANTONIO TX
78216-7201
US
V. Phone/Fax
- Phone: 210-504-7000
- Fax: 888-840-0064
- Phone: 210-504-7000
- Fax: 888-840-0064
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
BURTON
FERGUSON
Title or Position: OWNER
Credential: DDS
Phone: 210-725-4646