Sleep Doctor Pllc | |
840 E Redd Rd Bldg 1a El Paso TX 79912-7265 | |
(915) 701-6725 | |
(915) 995-4802 |
Full Name | Sleep Doctor Pllc |
---|---|
Speciality | Family Medicine |
Location | 840 E Redd Rd Bldg 1a, El Paso, Texas |
Authorized Official Name and Position | Omavi Bailey (MD/MEDICAL DIRECTOR) |
Authorized Official Contact | 4049086474 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sleep Doctor Pllc 1500 Finsterwald Pl El Paso TX 79936-6011 Ph: (817) 209-4946 | Sleep Doctor Pllc 840 E Redd Rd Bldg 1a El Paso TX 79912-7265 Ph: (915) 701-6725 |
NPI Number | 1881210599 |
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Provider Enumeration Date | 06/18/2020 |
Last Update Date | 11/02/2020 |
Medicare PECOS PAC ID | 1557786068 |
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Medicare Enrollment ID | O20200730003476 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881210599 | NPI | - | NPPES |
S3791 | Other | TX | MEDICAL LICENSE |
Provider Name | Omavi Bailey |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1982010203 PECOS PAC ID: 7618221508 Enrollment ID: I20191122001033 |
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