Healthcare Provider Details
I. General information
NPI: 1407548969
Provider Name (Legal Business Name): DFW LUNG HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2023
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3301 MATLOCK RD
ARLINGTON TX
76015-2908
US
IV. Provider business mailing address
7814 UX BRIDGE DR
IRVING TX
75063-1266
US
V. Phone/Fax
- Phone: 682-509-5864
- Fax: 469-713-8246
- Phone: 682-509-5864
- Fax: 469-713-8246
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KASHIF
ASLAM
Title or Position: OWNER
Credential: MD
Phone: 682-509-5864