Provider Demographics
NPI:1720807100
Name:HOUSTON DENTAL SLEEP APNEA SOLUTIONS LLC
Entity type:Organization
Organization Name:HOUSTON DENTAL SLEEP APNEA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-885-4311
Mailing Address - Street 1:2111 WEST LOOP S STE 130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3646
Mailing Address - Country:US
Mailing Address - Phone:832-767-3331
Mailing Address - Fax:832-538-0343
Practice Address - Street 1:2111 WEST LOOP S STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3646
Practice Address - Country:US
Practice Address - Phone:832-767-3331
Practice Address - Fax:832-538-0343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment