| Healthy Sleep of East Texas PLLC | |
|
903 E Lennon Dr Ste 108 Emory TX 75440-5229 | |
| (903) 953-8500 | |
| (903) 953-8501 |
| Full Name | Healthy Sleep of East Texas PLLC |
|---|---|
| Speciality | Dentist |
| Location | 903 E Lennon Dr Ste 108, Emory, Texas |
| Authorized Official Name and Position | Bennett J Vaculik (DENTIST) |
| Authorized Official Contact | 9032434790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Sleep of East Texas PLLC 903 E Lennon Dr Ste 108 Emory TX 75440-5229 Ph: (903) 953-8500 | Healthy Sleep of East Texas PLLC 903 E Lennon Dr Ste 108 Emory TX 75440-5229 Ph: (903) 953-8500 |
| NPI Number | 1174175277 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 0345664249 |
|---|---|
| Medicare Enrollment ID | O20200724001954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174175277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |