Provider Demographics
NPI:1285988956
Name:GOODNIGHT SLEEP CENTER
Entity type:Organization
Organization Name:GOODNIGHT SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALATORRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-765-7285
Mailing Address - Street 1:1125 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-5948
Mailing Address - Country:US
Mailing Address - Phone:830-422-2383
Mailing Address - Fax:210-547-9548
Practice Address - Street 1:1125 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-5948
Practice Address - Country:US
Practice Address - Phone:830-422-2383
Practice Address - Fax:210-547-9548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic