| Koala Center For Sleep Disorders | |
|
6901 Helen Of Troy Ste D2 El Paso TX 79911-3130 | |
| (815) 881-9898 | |
| Not Available |
| Full Name | Koala Center For Sleep Disorders |
|---|---|
| Speciality | Dentist |
| Location | 6901 Helen Of Troy Ste D2, El Paso, Texas |
| Authorized Official Name and Position | Bryan Kalish (OWNER) |
| Authorized Official Contact | 9158819898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Koala Center For Sleep Disorders 11825 State Route 40 Ste 100 Dunlap IL 61525-8842 Ph: (309) 839-9971 | Koala Center For Sleep Disorders 6901 Helen Of Troy Ste D2 El Paso TX 79911-3130 Ph: (815) 881-9898 |
| NPI Number | 1114407970 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 06/12/2019 |
| Medicare PECOS PAC ID | 3476886987 |
|---|---|
| Medicare Enrollment ID | O20190614000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114407970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23551 (Texas) | Primary |
| Provider Name | Bryan P Kalish |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730139635 PECOS PAC ID: 7517246572 Enrollment ID: I20190614000281 |
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