PULMONARY DISEASES MEDICINE CLINIC NPI 1114044328

NPI Information

NPI: 1114044328
Provider Name: PULMONARY DISEASES MEDICINE CLINIC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
921 TEXAS BLVD STE D
TEXARKANA, TX
ZIP 75501
Phone: (903) 792-3660
Get Directions

PULMONARY DISEASES MEDICINE CLINIC is a pulmonary disease internal medicine in Texarkana, TX. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PULMONARY DISEASES MEDICINE CLINIC NPI is 1114044328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

921 TEXAS BLVD STE D
TEXARKANA, TX
ZIP 75501-163
Phone: (903) 792-3660
Fax: (903) 793-3187

The provider's authorized official is Becky Watkins .
The authorized official title is Office Manager and has the following contact phone number (903) 792-3660.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90815000040	OTHER	ARKANSAS	QUAL CHOICE
2	0055R	OTHER	TEXAS	TX BCBS
3	200092730A	OTHER	OKLAHOMA	OK CAID
4	00055R	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE ID
5	1415531 01	MEDICAID	TEXAS
6	DA7905	OTHER	TEXAS	RR MEDICARE
7	8P083	OTHER	ARKANSAS	AR BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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