Provider Demographics
NPI:1215473970
Name:TEXAS ISLEEP LLC
Entity type:Organization
Organization Name:TEXAS ISLEEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIAA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:936-291-9021
Mailing Address - Street 1:1333 WINDSOR ST
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-5615
Mailing Address - Country:US
Mailing Address - Phone:936-291-9021
Mailing Address - Fax:936-291-2149
Practice Address - Street 1:1333 WINDSOR ST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-5615
Practice Address - Country:US
Practice Address - Phone:936-291-9021
Practice Address - Fax:936-291-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25277122300000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty