Healthcare Provider Details
I. General information
NPI: 1407957707
Provider Name (Legal Business Name): SLEEP AND PULMONARY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 03/25/2009
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 90749
SAN ANTONIO TX
78209-9090
US
V. Phone/Fax
- Phone: 210-599-1433
- Fax: 210-599-1803
- Phone: 210-599-1433
- Fax: 210-590-6997
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NASIR
S
SYED
Title or Position: OWNER PHYSICIAN
Credential: MD
Phone: 210-599-1433