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NPI Code Detail

MEDICARE: ATX SLEEP DOCS

MEDICARE: ATX SLEEP DOCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS1201XSleep Medicine (Family Medicine) Physician
2207RS0012XSleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1073084562
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATX SLEEP DOCS
Provider Business Mailing Address
First Line : 3600 W PARMER LN STE 108
Second Line :
City : AUSTIN
State : TX
Zip : 78727-4111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 W PARMER LN STE 108
Second Line :
City : AUSTIN
State : TX
Zip : 78727-4111
Country : US
Telephone Number : 512-238-7777
Fax Number :
Authorized Official
Title or Position : ADMIN
Name : HAMID TODD TABDILI
Credential :
Telephone Number : 310-270-7865
Provider Enumeration Date : 12/10/2018
Last Update Date : 01/16/2019

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Directions to “ATX SLEEP DOCS ” Practice Location

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