Provider Demographics
NPI:1700132347
Name:ALICIA A. POLLARD DBA:SLEEPLINK SOUTHWEST
Entity type:Organization
Organization Name:ALICIA A. POLLARD DBA:SLEEPLINK SOUTHWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-655-6100
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-0005
Mailing Address - Country:US
Mailing Address - Phone:806-655-6100
Mailing Address - Fax:806-655-6101
Practice Address - Street 1:2312 4TH AVE
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-4142
Practice Address - Country:US
Practice Address - Phone:806-655-6100
Practice Address - Fax:806-655-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty