=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255070843
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEXAS LUNG AND SLEEP ASSOCIATES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2022
-----------------------------------------------------
Last Update Date | 07/02/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7619 BRANFORD PL STE 250
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77479-3760
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-340-9090
-----------------------------------------------------
Fax | 346-340-9093
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7619 BRANFORD PL STE 250
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77479-1104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-340-9090
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PALLAV HALANI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 734-740-0929
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2080P0214X
-----------------------------------------------------
Taxonomy Name | Pediatric Pulmonology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------