Provider Demographics
NPI:1487000675
Name:SLEEP MEDICINE ASSOCIATES OF TEXAS, P.A.
Entity type:Organization
Organization Name:SLEEP MEDICINE ASSOCIATES OF TEXAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-750-7776
Mailing Address - Street 1:4712 DEXTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5289
Mailing Address - Country:US
Mailing Address - Phone:214-750-7776
Mailing Address - Fax:214-750-4621
Practice Address - Street 1:4712 DEXTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5289
Practice Address - Country:US
Practice Address - Phone:972-312-8632
Practice Address - Fax:972-312-8634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC13110Medicare UPIN
TXE03411Medicare UPIN
TX8J2545Medicare UPIN
TXF01744Medicare UPIN