Austin Sleep Wellness Llc | |
2300 E Rancier Ave Ste 110 Killeen TX 76543-3450 | |
(254) 630-1458 | |
Not Available |
Full Name | Austin Sleep Wellness Llc |
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Speciality | Dentist |
Location | 2300 E Rancier Ave Ste 110, Killeen, Texas |
Authorized Official Name and Position | Suzan V Harris (OWNER) |
Authorized Official Contact | 2546301456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Austin Sleep Wellness Llc 2300 E Rancier Ave Ste 110 Killeen TX 76543-3450 Ph: (254) 781-8177 | Austin Sleep Wellness Llc 2300 E Rancier Ave Ste 110 Killeen TX 76543-3450 Ph: (254) 630-1458 |
NPI Number | 1679194575 |
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Provider Enumeration Date | 05/01/2020 |
Last Update Date | 11/13/2020 |
Medicare PECOS PAC ID | 3678997855 |
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Medicare Enrollment ID | O20200721002376 |
Identifier | Type | State | Issuer |
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1679194575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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