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WHITE ROCK PULMONARY ASSOCIATES P.A. NPI 1790718484


NPI Information

NPI: 1790718484
Provider Name: WHITE ROCK PULMONARY ASSOCIATES, P.A.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
9330 POPPY DRIVE
SUITE #407
DALLAS, TX
ZIP 75218
Phone: (214) 328-5487
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WHITE ROCK PULMONARY ASSOCIATES, P.A. is a pulmonary disease internal medicine in Dallas, 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. WHITE ROCK PULMONARY ASSOCIATES, P.A. NPI is 1790718484. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9330 POPPY DRIVE
SUITE #407
DALLAS, TX
ZIP 75218-403
Phone: (214) 328-5487
Fax: (214) 328-0419

The provider's authorized official is Mark C. Ferris .
The authorized official title is President and has the following contact phone number (214) 328-5487.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 9/14/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207RC0200XInternal MedicineCritical Care MedicineJ5758TEXASNo
3207RP1001XInternal MedicinePulmonary DiseaseJ5758TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1115596203MEDICAIDTEXAS
200106NMEDICARE PINTEXAS
3F86258MEDICARE UPINTEXAS
4079894401MEDICAIDTEXAS

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: 4/28/2024

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