MEDICARE: RIVER CITY BETTER SLEEP PLLC

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	122300000X	Dentist
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1689367286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER CITY BETTER SLEEP PLLC

Provider Business Mailing Address
First Line	:	7300 BLANCO RD STE 203
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4938
Country	:	US
Telephone Number	:	210-349-3745
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 BLANCO RD STE 203
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4938
Country	:	US
Telephone Number	:	210-349-3745
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH JAMES PERRY
Credential	:	DDS
Telephone Number	:	361-319-9780

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	05/30/2023

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