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NPI Code Detail

MEDICARE: MAINLAND PULMONARY ASSOCIATES PLLC

MEDICARE: MAINLAND PULMONARY ASSOCIATES 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
1207R00000XInternal Medicine Physician
2207RC0200XCritical Care Medicine (Internal Medicine) Physician
3207RS0012XSleep Medicine (Internal Medicine) Physician
4207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1427529635
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAINLAND PULMONARY ASSOCIATES PLLC
Provider Business Mailing Address
First Line : 6409 MEMORIAL DR
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-4057
Country : US
Telephone Number : 409-935-2995
Fax Number : 409-935-3433
Provider Business Practice Location Address
First Line : 6409 MEMORIAL DR
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-4057
Country : US
Telephone Number : 409-935-2995
Fax Number : 409-935-3433
Authorized Official
Title or Position : PARTNER
Name : JOSE CANTU
Credential : MD
Telephone Number : 409-935-2995
Provider Enumeration Date : 12/16/2018
Last Update Date : 02/13/2025

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Directions to “MAINLAND PULMONARY ASSOCIATES PLLC ” Practice Location

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