Healthcare Provider Details

I. General information

NPI: 1295780187
Provider Name (Legal Business Name): PULMONARY SPECIALISTS L L C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4334 NW EXPRESSWAY STE 214
OKLAHOMA CITY OK
73116-1578
US

IV. Provider business mailing address

4334 NW EXPRESSWAY STE 214
OKLAHOMA CITY OK
73116-1578
US

V. Phone/Fax

Practice location:
  • Phone: 405-753-6200
  • Fax: 405-753-6090
Mailing address:
  • Phone: 405-753-6200
  • Fax: 405-753-6090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN E. HUFF
Title or Position: PARTNER,OWNER
Credential: M.D.
Phone: 405-753-6200