=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073410981
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LONE STAR SLEEP CENTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2026
-----------------------------------------------------
Last Update Date | 10/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 619 MATLOCK CENTRE CIR
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76015-2535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-745-9933
-----------------------------------------------------
Fax | 817-745-9934
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 106 N DENTON TAP RD # 210-125
-----------------------------------------------------
City | COPPELL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75019-2138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-745-9933
-----------------------------------------------------
Fax | 817-745-9934
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | AMEET KUMAR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 817-745-9933
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207QS1201X
-----------------------------------------------------
Taxonomy Name | Sleep Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QS1200X
-----------------------------------------------------
Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------