Provider Demographics
NPI:1316343379
Name:RGVSLEEP, LLC
Entity type:Organization
Organization Name:RGVSLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS PA
Authorized Official - Phone:956-584-1554
Mailing Address - Street 1:900 PLAZA DR
Mailing Address - Street 2:SUITE #3
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6045
Mailing Address - Country:US
Mailing Address - Phone:956-584-1554
Mailing Address - Fax:956-584-0383
Practice Address - Street 1:900 PLAZA DR
Practice Address - Street 2:SUITE #3
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6045
Practice Address - Country:US
Practice Address - Phone:956-584-1554
Practice Address - Fax:956-584-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19222261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental