DREAM TEAM DIAGNOSTICS, LLC (NPI# 1659820256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659820256 |
| Entity Type | Organization |
| Organization Name | DREAM TEAM DIAGNOSTICS, LLC |
| Practice Address |
601 Penn St Fort Worth TX 76102-2619 |
| Practice Telephone | 8176806688 |
| Practice Fax Number | 8177961174 |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2016-09-24 |
| Authorized Official Name | JOSE MENDEZ (MEMBER) |
| Authorized Official Telephone | 8176806688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
601 PENN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588094593 | T Off Men's Health | Internal Medicine | 601 Penn St, Fort Worth, TX 76102-2619 | 2013-11-13 |
| 1841738077 | Derek Hazelwood | Nurse Practitioner | 601 Penn St, Fort Worth, TX 76102-2619 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114395969 | Texas Health Physicians Group | Clinic/Center | 2920 Oak Park Cir Ste 102, Fort Worth, TX 76109-1853 | 2015-09-10 |
| 1487973541 | North Texas Lung & Sleep Clinic, Pa | Clinic/Center | 2801 S Hulen St Ste 600, Fort Worth, TX 76109-1530 | 2010-05-27 |
| 1205166592 | Sift LLC | Clinic/Center | 508 S. Adams St., Suite 102, Fort Worth, TX 76104-2151 | 2010-01-08 |
| 1063671360 | Total Sleep Holdings, Inc | Clinic/Center | 4445 Oak Park Ln, Fort Worth, TX 76109-9531 | 2008-06-03 |
| 1275651069 | Sleep In Wellnessc Center Inc | Clinic/Center | 908 W Terrell Ave N, Fort Worth, TX 76104-3034 | 2007-03-27 |
| 1043387491 | Medical Edge Healthcare Group Pa | Clinic/Center | 4400 Oak Park Ln, Fort Worth, TX 76109-9534 | 2006-11-29 |
| 1386652287 | Complete Sleep Management Inc | Clinic/Center | 2931 Oak Park Cir, Ste B, Fort Worth, TX 76109-1891 | 2006-08-04 |
| 1942216601 | Sleep Telemedicine Services, Inc | Clinic/Center | 910 W Terrell Ave N, Fort Worth, TX 76104-3034 | 2006-08-01 |
| 1841237708 | Sweet Dreams Sleep Lab | Clinic/Center | 6618 Bryant Irvin Rd, Suite 101, Fort Worth, TX 76132-4217 | 2006-06-01 |
| 1821351180 | Fort Worth Sleep Labs | Clinic/Center | 4150 International Plz Ste 600, Fort Worth, TX 76109-4831 | 2012-06-21 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on DREAM TEAM DIAGNOSTICS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.