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General NPI Number Information
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NPI Number | 1427127968
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Entity Type | Organization
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Legal Business Name | TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1201 FAIRMOUNT AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4215
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Country | US
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Telephone | 817-335-5288
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Fax | 817-338-0927
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Provider Business Mailing Address
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Address Line | 1201 FAIRMOUNT AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4215
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Country | US
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Telephone | 817-335-5288
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Fax | 817-338-0927
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Authorized Official
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Title or Position | PHYSICIAN SHAREHOLDER
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Name | KERIM F RAZACK
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Credential | MD
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Telephone | 817-335-5288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | 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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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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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