Healthcare Provider Details

I. General information

NPI: 1760825707
Provider Name (Legal Business Name): SNORE & SLEEP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 04/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7940 FLOYD CURL DR SUITE 220
SAN ANTONIO TX
78229-3905
US

IV. Provider business mailing address

7950 FLOYD CURL DR SUITE 620
SAN ANTONIO TX
78229-3919
US

V. Phone/Fax

Practice location:
  • Phone: 210-692-0361
  • Fax: 210-614-9968
Mailing address:
  • Phone: 210-692-0361
  • Fax: 210-614-9968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DEANIE MARIN
Title or Position: OFFICE MANAGER
Credential: OFFICE MANAGER
Phone: 210-692-0361