MEDICARE: SOUTHWEST PULMONARY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1174658454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST PULMONARY ASSOCIATES

Provider Business Mailing Address
First Line	:	10100 N CENTRAL EXPY
Second Line	:	SUITE 560
City	:	DALLAS
State	:	TX
Zip	:	75231-4159
Country	:	US
Telephone Number	:	469-916-0087
Fax Number	:	469-916-0089

Provider Business Practice Location Address
First Line	:	10100 N CENTRAL EXPY
Second Line	:	SUITE 560
City	:	DALLAS
State	:	TX
Zip	:	75231-4159
Country	:	US
Telephone Number	:	469-916-0087
Fax Number	:	469-916-0089

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. JOSEPH VIROSLAV
Credential	:	M.D.
Telephone Number	:	214-879-6555

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	10/23/2019

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