Provider Demographics
NPI:1063965804
Name:APEX PULMONARY CARE PLLC
Entity type:Organization
Organization Name:APEX PULMONARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:H
Authorized Official - Last Name:AWILI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-690-0327
Mailing Address - Street 1:1601 N BELT LINE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1790
Mailing Address - Country:US
Mailing Address - Phone:972-329-3500
Mailing Address - Fax:972-329-3513
Practice Address - Street 1:1601 N BELT LINE RD
Practice Address - Street 2:SUITE B
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1790
Practice Address - Country:US
Practice Address - Phone:972-329-3500
Practice Address - Fax:972-329-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0003174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty