Provider Demographics
NPI:1700141231
Name:HOME SLEEP SPECIALISTS
Entity type:Organization
Organization Name:HOME SLEEP SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARNARD-PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, RPSGT
Authorized Official - Phone:254-315-9440
Mailing Address - Street 1:145 LAKELAND PARK CIR
Mailing Address - Street 2:
Mailing Address - City:MART
Mailing Address - State:TX
Mailing Address - Zip Code:76664-5151
Mailing Address - Country:US
Mailing Address - Phone:254-875-2222
Mailing Address - Fax:
Practice Address - Street 1:145 LAKELAND PARK CIR
Practice Address - Street 2:
Practice Address - City:MART
Practice Address - State:TX
Practice Address - Zip Code:76664-5151
Practice Address - Country:US
Practice Address - Phone:254-315-9440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic