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General NPI Number Information
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NPI Number | 1407614068
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Entity Type | Organization
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Legal Business Name | TEXAS LUNG AND SLEEP CONSULTANTS, PLLC
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1001 ROBBIE MINCE WAY
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City | DESOTO
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State | TX
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Zip | 75115-2012
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Country | US
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Telephone | 972-709-7190
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Fax | 972-780-4796
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Provider Business Mailing Address
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Address Line | 1001 ROBBIE MINCE WAY
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City | DESOTO
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State | TX
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Zip | 75115-2012
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Country | US
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Telephone | 972-709-7190
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Fax | 972-780-4796
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Authorized Official
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Title or Position | RCM DIRECTOR
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Name | MRS. REBECCA LEE BANNISTER
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Credential |
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Telephone | 972-709-7190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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