Healthcare Provider Details

I. General information

NPI: 1407845456
Provider Name (Legal Business Name): PULMONARY MEDICINE CONSULTANTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 GEORGE BUSH HWY STE 407
RICHARDSON TX
75082-4279
US

IV. Provider business mailing address

2821 GEORGE BUSH HWY STE 407
RICHARDSON TX
75082-4279
US

V. Phone/Fax

Practice location:
  • Phone: 972-680-0668
  • Fax: 972-680-2499
Mailing address:
  • Phone: 972-680-0668
  • Fax: 972-680-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY H. FOSTER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 972-680-0668