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General NPI Number Information
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NPI Number | 1700070653
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Entity Type | Organization
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Legal Business Name | TEXAS PULMONOLOGY SOLUTIONS, PA
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 11901 TOEPPERWEIN RD STE 1401
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City | LIVE OAK
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State | TX
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Zip | 78233-3160
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Country | US
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Telephone | 210-654-8215
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 461649
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City | SAN ANTONIO
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State | TX
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Zip | 78246-1649
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Country | US
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Telephone | 210-654-8215
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Fax | 210-545-0796
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TAREQ JAMIL
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Credential | MD
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Telephone | 210-654-8215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | M5249
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License Number State | TX
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