MEDICARE: SWEET DREAMS SLEEP SOLUTIONS, LLC

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
1	332BC3200X	Customized Equipment (DME)	25163	TX

General Provider Information

NPI Number	:	1164831566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET DREAMS SLEEP SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1300 POST OAK BLVD STE 1620
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3013
Country	:	US
Telephone Number	:	713-622-6112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 POST OAK BLVD STE 1620
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3013
Country	:	US
Telephone Number	:	713-622-6112
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. AMANDA JUAREZ
Credential	:	D.D.S.
Telephone Number	:	713-622-6112

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	08/11/2014

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