Healthcare Provider Details

I. General information

NPI: 1699809897
Provider Name (Legal Business Name): PULMONARY & SLEEP ASSOCIATES OF SAN ANTONIO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 TOEPPERWEIN RD SUITE 1401
LIVE OAK TX
78233-3160
US

IV. Provider business mailing address

PO BOX 2338
UNIVERSAL CITY TX
78148-1338
US

V. Phone/Fax

Practice location:
  • Phone: 210-599-1433
  • Fax: 210-599-1803
Mailing address:
  • Phone: 210-599-1433
  • Fax: 210-599-1803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMED A QURESHI
Title or Position: OWNER
Credential: MD
Phone: 210-599-1433