45D2071668 CLIA NUMBER - TEXOMA PULMONARY & SLEEP SPECIALIST, PA

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Laboratory Demographics

CLIA Number: 45D2071668

Facility Name: TEXOMA PULMONARY & SLEEP SPECIALIST, PA

Facility Address:
101 S US HIGHWAY 75
DENISON, TX
ZIP 75020
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Facility Phone Number: 903 463-0003

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588943914

Taxonomy: 207RP1001X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	45D2071668
LAB Type	Physician Office
Facility Name	TEXOMA PULMONARY & SLEEP SPECIALIST, PA
Street	101 S US HIGHWAY 75
City	DENISON
State	TX
ZIP	75020
Phone	903 463-0003
CertificateType	4
CertificateEffectiveDate	5/4/2022
CertificateExpirationDate	5/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024