MEDICARE: TEXAS PULMONARY AND SLEEP CLINIC, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	L7822	TX
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	L7822	TX
3	207RP1001X	Pulmonary Disease Physician	L7822	TX

General Provider Information

NPI Number	:	1104172063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PULMONARY AND SLEEP CLINIC, PA

Provider Business Mailing Address
First Line	:	PO BOX 891421
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77289-1421
Country	:	US
Telephone Number	:	713-568-8887
Fax Number	:	713-588-8980

Provider Business Practice Location Address
First Line	:	3301 PLAINVIEW ST
Second Line	:	SUITE #8
City	:	PASADENA
State	:	TX
Zip	:	77504-1929
Country	:	US
Telephone Number	:	713-568-8887
Fax Number	:	713-588-8980

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEORGE MICHAEL NASSIF
Credential	:	M.D.
Telephone Number	:	713-568-8887

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	08/29/2012

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