Provider Demographics
NPI:1366522377
Name:PULMONARY & CRITICAL CARE CONSULTANTS, PA
Entity type:Organization
Organization Name:PULMONARY & CRITICAL CARE CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-566-7007
Mailing Address - Street 1:7777 FOREST LN STE C500
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2516
Mailing Address - Country:US
Mailing Address - Phone:972-566-7007
Mailing Address - Fax:972-566-7013
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE B222
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-7007
Practice Address - Fax:972-566-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1507113Medicaid
TX1507113Medicaid