45D2129534 CLIA NUMBER - TEXAS LUNG CENTER, PA

Laboratory Demographics

CLIA Number: 45D2129534

Facility Name: TEXAS LUNG CENTER, PA

Facility Address:
3600 GASTON AVENUE, 806 BARNETT TOWER
DALLAS, TX
ZIP 75246
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Facility Phone Number: 214 824-8521

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881788990

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	45D2129534
LAB Type	Physician Office
Facility Name	TEXAS LUNG CENTER, PA
Street	3600 GASTON AVENUE, 806 BARNETT TOWER
City	DALLAS
State	TX
ZIP	75246
Phone	214 824-8521
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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