Provider Demographics
NPI:1487778874
Name:ABILENE LUNG PHYSICIANS, P.A.
Entity type:Organization
Organization Name:ABILENE LUNG PHYSICIANS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRESTON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:PATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-670-3800
Mailing Address - Street 1:1101 N 19TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2375
Mailing Address - Country:US
Mailing Address - Phone:325-670-3800
Mailing Address - Fax:325-670-3803
Practice Address - Street 1:1101 N 19TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2375
Practice Address - Country:US
Practice Address - Phone:325-670-3800
Practice Address - Fax:325-670-3803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8310261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty