MEDICARE: DALLAS PULMONARY ASSOCIATES

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	207RP1001X	Pulmonary Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	C16976	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00EM03	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1659302024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS PULMONARY ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 116638
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75011-6638
Country	:	US
Telephone Number	:	972-241-4208
Fax Number	:	972-241-7189

Provider Business Practice Location Address
First Line	:	10 MEDICAL PKWY
Second Line	:	SUITE 301
City	:	DALLAS
State	:	TX
Zip	:	75234-7840
Country	:	US
Telephone Number	:	972-241-4208
Fax Number	:	972-241-7189

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES P LOFTIN
Credential	:	M.D.
Telephone Number	:	972-241-4208

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	09/16/2010

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Directions to “DALLAS PULMONARY ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

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