Provider Demographics
NPI:1528320793
Name:DNR SLEEP CENTERS OF SOUTH TEXAS, LLC
Entity type:Organization
Organization Name:DNR SLEEP CENTERS OF SOUTH TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LONERGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:210-695-2757
Mailing Address - Street 1:4207 GARDENDALE ST
Mailing Address - Street 2:STE. 100B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3182
Mailing Address - Country:US
Mailing Address - Phone:210-695-2757
Mailing Address - Fax:800-520-2747
Practice Address - Street 1:14603 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5469
Practice Address - Country:US
Practice Address - Phone:210-695-2757
Practice Address - Fax:800-520-2747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory