Provider Demographics
NPI:1144481680
Name:TEXAS CENTER FOR SLEEP DISORDERS AT WILLOW BEND LP
Entity type:Organization
Organization Name:TEXAS CENTER FOR SLEEP DISORDERS AT WILLOW BEND LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZEIDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-432-8401
Mailing Address - Street 1:210 PARK AVE
Mailing Address - Street 2:SUITE 1350
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-5636
Mailing Address - Country:US
Mailing Address - Phone:405-285-4914
Mailing Address - Fax:405-285-7127
Practice Address - Street 1:5944 W PARKER RD STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6421
Practice Address - Country:US
Practice Address - Phone:469-241-0081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic