Provider Demographics
NPI:1992874184
Name:PULMONARY AND SLEEP PA
Entity type:Organization
Organization Name:PULMONARY AND SLEEP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUQDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZURIQAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-868-2800
Mailing Address - Street 1:300 N HIGHLAND AVE
Mailing Address - Street 2:SUITE 455
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7388
Mailing Address - Country:US
Mailing Address - Phone:903-868-2800
Mailing Address - Fax:903-868-2822
Practice Address - Street 1:300 N HIGHLAND AVE
Practice Address - Street 2:SUITE 455
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7388
Practice Address - Country:US
Practice Address - Phone:903-868-2800
Practice Address - Fax:903-868-2822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8455174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0042QQOtherBLUE CROSS BLUE SHIELD
TXDG9545OtherRAIL ROAD MEDICARE PTAN
TX8F7102Medicare PIN
TX0042QQOtherBLUE CROSS BLUE SHIELD
TXH64089Medicare UPIN