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NPI 1770862336

NPI 1770862336 : PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS OF NORTH TEXAS, PA : DECATUR, TX

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General NPI Number Information
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    NPI Number           |    1770862336
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    Entity Type          |    Organization 
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    Legal Business Name  |    PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS OF NORTH TEXAS, PA 
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Dates
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    Enumeration Date     |    08/12/2011
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    Last Update Date     |    06/07/2022
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Provider Practice Location Address
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    Address Line         |    902 PRESKITT RD STE 500 
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    City                 |    DECATUR
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    State                |    TX
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    Zip                  |    76234-4101
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    Country              |    US
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    Telephone            |    940-626-8630
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    Fax                  |    940-626-8631
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Provider Business Mailing Address
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    Address Line         |    1816 S FM 51 SUITE 400, # 137
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    City                 |    DECATUR
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    State                |    TX
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    Zip                  |    76234-3784
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    Country              |    US
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    Telephone            |    940-626-8630
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    Fax                  |    940-626-8631
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. SYED AMIR RIZVI 
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    Credential           |    M.D.
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    Telephone            |    618-207-7016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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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