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NPI Code Detail

MEDICARE: SLEEP DOCTOR PLLC

MEDICARE: SLEEP DOCTOR 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
1207Q00000XFamily Medicine Physician
22083B0002XObesity Medicine (Preventive Medicine) Physician
3207QS1201XSleep Medicine (Family Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S3791OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1881210599
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP DOCTOR PLLC
Provider Business Mailing Address
First Line : 6960 PITTS ST
Second Line :
City : EL PASO
State : TX
Zip : 79912-4464
Country : US
Telephone Number : 833-327-5337
Fax Number :
Provider Business Practice Location Address
First Line : 6960 PITTS ST
Second Line :
City : EL PASO
State : TX
Zip : 79912-4464
Country : US
Telephone Number : 833-327-5337
Fax Number :
Authorized Official
Title or Position : MD/MEDICAL DIRECTOR
Name : DR. OMAVI BAILEY
Credential : MD
Telephone Number : 404-908-6474
Provider Enumeration Date : 06/18/2020
Last Update Date : 04/14/2025

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Directions to “SLEEP DOCTOR PLLC ” Practice Location

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