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LUNG CLINIC PLLC NPI 1073987533


NPI Information

NPI: 1073987533
Provider Name: LUNG CLINIC PLLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
555 CREEKSIDE XING
NEW BRAUNFELS, TX
ZIP 78130
Phone: (210) 774-5443
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LUNG CLINIC PLLC is a pulmonary disease internal medicine in New Braunfels, 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. LUNG CLINIC PLLC NPI is 1073987533. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

555 CREEKSIDE XING
NEW BRAUNFELS, TX
ZIP 78130
Phone: (210) 774-5443
Fax: (336) 350-8495

The provider's authorized official is Abhishek Vedavalli .
The authorized official title is President and has the following contact phone number (512) 718-7494.

The enumeration date for this NPI number is 11/20/2015 and was last updated on 12/4/2018.


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
1207RC0200XInternal MedicineCritical Care MedicineP6293TEXASNo
2207RP1001XInternal MedicinePulmonary DiseaseP6293TEXASYes

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
13642415-01MEDICAIDTEXAS

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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