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NPI Code Detail

MEDICARE: TIDY LUNGS PLLC

MEDICARE: TIDY LUNGS PLLC
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
1207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1386578920
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIDY LUNGS PLLC
Provider Business Mailing Address
First Line : 27735 BURNETT HILLS LN
Second Line :
City : FULSHEAR
State : TX
Zip : 77441-1498
Country : US
Telephone Number : 248-894-3790
Fax Number :
Provider Business Practice Location Address
First Line : 5501 CABRERA DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-7259
Country : US
Telephone Number : 832-856-1769
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RONNY TCHOKONTE
Credential : MD
Telephone Number : 248-894-3790
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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